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Contact Information

CARDIOSPECIALISTS GROUP, LTD
2150 GETTLER ST
SUITE 122
DYER, IN46311-2380
 Phone: 219-319-0300
 Fax: 219-440-7475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CARDIOSPECIALISTS GROUP, LTD

NPI Number 1497704514
LBN Legal business name CARDIOSPECIALISTS GROUP, LTD
Authorized official BRAD SUPRENANT - (PRESIDENT/MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 05/10/2016 - About 10 years ago
Identifiers
IL Other CN0895 RR MEDICARE
IL Other DA0548 RR MEDICARE
IN Other CA4855 RR MEDICARE
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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