COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC (NPI# 1093905663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093905663 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC |
Practice Address |
1 Medical Village Dr Heart Failure Clinic Edgewood KY 41017-3403 |
Mailing Address |
311 Straight St Suite 301 Cincinnati OH 45219-1018 |
Practice Telephone | 5138615555 |
Practice Fax Number | 5138610999 |
Mailing Telephone | 5138615555 |
Mailing Fax Number | 5138610999 |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |
Authorized Official Name | MR. GEORGE A. WIETMARSCHEN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5138725700 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0262193 | 05 | |
KY | 65940835 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881727568 | Comprehensive Cardiology Consultants, Inc | Internal Medicine | 10506 Montgomery Rd, Suite G103, Cincinnati, OH 45242-4487 | 2007-03-13 |
1184756355 | Comprehensive Cardiology Consultants, Inc | Internal Medicine | 8000 5 Mile Rd, Suite 102, Cincinnati, OH 45230-2163 | 2007-03-12 |
1992837249 | Comprehensive Cardiology Consultants, Inc | Internal Medicine | 10496 Montgomery Rd, Suite 104, Cincinnati, OH 45242-5223 | 2007-03-12 |
Street Address |
1 MEDICAL VILLAGE DR HEART FAILURE CLINIC |
City | EDGEWOOD |
State | KY |
Zip Code | 41017-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
Find all providers in zip 41017 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275536302 | Jerome B Schutzman | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017 | 2005-05-23 |
1407045693 | Hareeprasad Reddy Vongooru | Internal Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2007-10-24 |
1265642193 | Saadeddine Dughman | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017 | 2007-05-22 |
1538108881 | Deepthi R Mosali | Internal Medicine | 1 Medical Village Drive, Edgewood, KY 41017 | 2006-06-05 |
1871545004 | Patient Choice Cardiology, P.s.c. | Internal Medicine | 20 Medical Village Dr, Ste. 177, Edgewood, KY 41017-5401 | 2006-05-16 |
1881646339 | Jon Christian Hays | Internal Medicine | 20 Medical Village Dr, Ste 177, Edgewood, KY 41017 | 2006-05-16 |
1679541163 | Jerry Joseph Lierl | Internal Medicine | 20 Medical Village Dr, Ste. 177, Edgewood, KY 41017-5401 | 2006-03-09 |
1417934415 | Cardiology Associates, Psc | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017-3422 | 2005-12-30 |
1679576771 | Darryl D Dias | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017 | 2005-05-23 |
1922002252 | Mark K Jordan | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017 | 2005-05-23 |
Find all providers in EDGEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.