MEDICARE: CARDIOVASCULAR ASSOCIATES PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	CO
2	207RI0011X	Interventional Cardiology Physician	CO
3	207UN0901X	Nuclear Cardiology Physician	CO
4	2085R0204X	Vascular & Interventional Radiology Physician	CO
5	207RC0000X	Cardiovascular Disease Physician	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1538184775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR ASSOCIATES PC

Provider Business Mailing Address
First Line	:	4101 W CONEJOS PL
Second Line	:	SUITE #100
City	:	DENVER
State	:	CO
Zip	:	80204-1377
Country	:	US
Telephone Number	:	303-595-2600
Fax Number	:	303-595-2626

Provider Business Practice Location Address
First Line	:	4101 W CONEJOS PL
Second Line	:	SUITE #100
City	:	DENVER
State	:	CO
Zip	:	80204-1377
Country	:	US
Telephone Number	:	303-595-2600
Fax Number	:	303-595-2626

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MR. JOHN J. WEISS
Credential	:	C.E.O.
Telephone Number	:	303-595-2600

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/23/2008

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Directions to “CARDIOVASCULAR ASSOCIATES PC ” Practice Location

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