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NPI Code Detail

MEDICARE: HEART MATTERS PSC

MEDICARE: HEART MATTERS PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician
2207UN0901XNuclear Cardiology Physician
3207RI0011XInterventional Cardiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134387228
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART MATTERS PSC
Provider Business Mailing Address
First Line : 789 EASTERN BY PASS
Second Line : STE 20, MOB 1
City : RICHMOND
State : KY
Zip : 40475-2421
Country : US
Telephone Number : 859-625-5511
Fax Number : 859-625-5513
Provider Business Practice Location Address
First Line : 789 EASTERN BY PASS
Second Line : STE 20, MOB 1
City : RICHMOND
State : KY
Zip : 40475-2421
Country : US
Telephone Number : 859-625-5511
Fax Number : 859-625-5513
Authorized Official
Title or Position : OFFICE MANAGER
Name : REGINA ROWLAND
Credential :
Telephone Number : 859-625-5511
Provider Enumeration Date : 05/27/2008
Last Update Date : 08/05/2014

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Directions to “HEART MATTERS PSC ” Practice Location

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