CARDIOLOGY CARE INC (NPI# 1477585495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477585495 |
Entity Type | Organization |
Organization Name | CARDIOLOGY CARE INC |
Practice Address |
3006 N County Road 25a Ste 104 Troy OH 45373-1373 |
Practice Telephone | 9373353518 |
Practice Fax Number | 9373351231 |
Mailing Telephone | 9373353518 |
Mailing Fax Number | 9373351231 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-06-04 |
Authorized Official Name | DR. WILLIAM J CZAJKA (PRESIDENT) |
Authorized Official Telephone | 9373353518 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | BLACK LUNG | 021213700 | 01 |
OH | ANTHEM PIN | 000000010016 | 01 |
OH | 0885412 | 05 | |
OH | AETNA | 5315621 | 01 |
Street Address |
3006 N COUNTY ROAD 25A STE 104 |
City | TROY |
State | OH |
Zip Code | 45373-1373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982607172 | Cass M Cullis | Internal Medicine | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2005-05-23 |
1407465636 | Megan Jeanne Cotner | Nurse Practitioner | 3006 N County Road 25a, Troy, OH 45373-1373 | 2020-07-23 |
1699247072 | Josefina R. Ferree | Nurse Practitioner | 3006 N County Road 25a, Troy, OH 45373-1373 | 2018-12-22 |
1942503628 | Deann L Osterman | Physician Assistant | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2010-12-17 |
1457681512 | Affiliated Internists LLC | Internal Medicine | 3006 N County Road 25a, Ste 101, Troy, OH 45373-1373 | 2010-01-12 |
1578748612 | Jill Ann Cyphers | Nurse Practitioner | 3006 N County Road 25a, Suite 101, Troy, OH 45373-1373 | 2008-01-08 |
1396837985 | Aaron J Kaibas | Internal Medicine | 3006 N County Road 25a, Suite 104, Troy, OH 45373-1373 | 2006-09-29 |
1609828367 | Aruna K Prattipati | Internal Medicine | 3006 N County Road 25a, 101, Troy, OH 45373-1373 | 2006-05-17 |
1972583458 | Susan L. Hoying | Nurse Practitioner | 3006 N County Road 25a, Suite 104, Troy, OH 45373-1373 | 2006-01-19 |
1699771766 | Thomas E Kupper | Internal Medicine | 3006 N County Road 25a, Suite 104, Troy, OH 45373-1373 | 2005-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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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.