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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1518437326 |
| LBN Legal business name | COMMUNITY CARE SERVICES LLC |
| Authorized official | BRETT MOORE - (CFO ACUTE CARE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/05/2018 |
| Last updated | 04/09/2025 - More than a year ago |
| Identifiers | n/a |
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