CARDIAC CARE CENTER OF LOUISVILLE, PLLC; NPI #1154531515

Contact Information

CARDIAC CARE CENTER OF LOUISVILLE, PLLC

1023 NEW MOODY LN
SUITE 101
CRESTWOOD, KY 40031-9177

Phone: 502-222-4557
Fax: 502-222-5821
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Acute Care	363LA2100X	50	Nurse Practitioner
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Family	363LF0000X	50	Nurse Practitioner
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine
Medical	363AM0700X	97	Physician Assistant
Nuclear Cardiology	207UN0901X	36	Physician/Nuclear Medicine

Indicates primary specialty

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NPI Profile & details for CARDIAC CARE CENTER OF LOUISVILLE, PLLC

NPI # 1154531515

LBN Legal business name CARDIAC CARE CENTER OF LOUISVILLE, PLLC

Authorized official JESSE ADAMS - (OWNER PARTNER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/23/2007

Last updated 09/26/2007 - About 19 years ago

Identifiers

KY	Medicaid	65901324
KY	Medicaid	78902657
KY	Medicaid	95900494

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CARDIAC CARE CENTER OF LOUISVILLE, PLLC

Contact Information

Specialty

Cardiovascular Disease

Acute Care

Clinical Cardiac Electrophysiology

Family

Interventional Cardiology

Medical

Nuclear Cardiology

NPI Profile & details for CARDIAC CARE CENTER OF LOUISVILLE, PLLC

Reviews for CARDIAC CARE CENTER OF LOUISVILLE, PLLC