DANVILLE CARDIOVASCULAR CONSULTANTS, PSC (NPI# 1164429635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164429635 |
| Entity Type | Organization |
| Organization Name | DANVILLE CARDIOVASCULAR CONSULTANTS, PSC |
| Practice Address |
1250 Ben Ali Dr Danville KY 40422-8937 |
| Mailing Address |
1250 Ben Ali Dr Po Box 88 Danville KY 40422-8937 |
| Practice Telephone | 8592366621 |
| Practice Fax Number | 8592380471 |
| Mailing Telephone | 8592366621 |
| Mailing Fax Number | 8592380471 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | KATHLEEN S LOWERY (INS BILLING CLERK) |
| Authorized Official Telephone | 8592366621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27430 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65924029 | 05 | |
| KY | ANTHEM FACETS# | 000000061892 | 01 |
| Street Address |
1250 BEN ALI DR |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-8937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750815379 | Ephraim Mcdowell Health Resource, Inc | Audiologist | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2017-04-20 |
| 1205188208 | Ephraim Mcdowell H Ealth Resource,inc | Physician Assistant | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2012-10-15 |
| 1093986614 | Sharat Koul | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2008-03-23 |
| 1124011143 | Hafiz I Ahmad | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-08-24 |
| 1992702476 | Aslam M Ahmad | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| 1770580250 | John J Ibanez | Physician Assistant | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| 1669479143 | Frank A Koroluk | Physician Assistant | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| 1063419562 | John S Aumiller | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| 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 |
|---|---|---|---|---|
| 1447340112 | Gary Price Miller | Internal Medicine | 158 Executive Drive, Danville, VA 24541-4100 | 2006-10-13 |
| 1902901556 | Brian W Zagol | Internal Medicine | 158 Executive Dr, Danville, VA 24541-4100 | 2006-09-14 |
| 1215949656 | Malec A Mokraoui | Internal Medicine | 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 | 2006-08-13 |
| 1871527804 | Hussam Hamdalla | Internal Medicine | 102 Citation Dr, Danville, KY 40422-9216 | 2006-07-10 |
| 1205872264 | Boshra George Zakhary | Internal Medicine | 505 Rison St, Danville, VA 24541 | 2006-06-20 |
| 1588629521 | Anwer Qureshi | Internal Medicine | 100 N Academy, Danville, PA 17822-2160 | 2006-04-20 |
| 1861466377 | Narsing R Damera | Internal Medicine | 100 Hospital Ln Ste 120, Danville, IN 46122-1993 | 2006-02-14 |
| 1548234966 | Sai K Devarapalli | Internal Medicine | 100 Hospital Ln Ste 210, Danville, IN 46122 | 2006-02-14 |
| 1124026588 | Stephen Van Davis | Internal Medicine | 200 Deer Run Rd, Danville, VA 24540-2866 | 2005-07-11 |
| 1295154433 | Kamala Kallur | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2014-04-15 |
| Find all providers in DANVILLE | ||||
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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.