MEDICARE: SOUTHWEST CARDIOLOGY INC

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
1	207RC0000X	Cardiovascular Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060053779	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1540749	OTHER	OH	THE FUNDS UMW
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	020191600	OTHER	OH	BLACK LUNG PROGRAM

General Provider Information

NPI Number	:	1376587733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST CARDIOLOGY INC

Provider Business Mailing Address
First Line	:	3533 SOUTHERN BLVD
Second Line	:	SUITE 2100
City	:	KETTERING
State	:	OH
Zip	:	45429-1267
Country	:	US
Telephone Number	:	937-293-3486
Fax Number	:	937-293-3605

Provider Business Practice Location Address
First Line	:	8057 WASHINGTON VILLAGE DR
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	937-312-9890
Fax Number	:	937-293-3605

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID B STULTZ
Credential	:	MD
Telephone Number	:	937-293-3486

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/11/2010

Similar Medicare Providers

1831172329 — ZIWAR F KARABATAK M.D.
Practice Location Address:

8057 WASHINGTON VILLAGE DR
CENTERVILLE, OH
45458-1847

Practice Phone: 937-312-9890
Practice Fax: 937-312-9810

1801091541 — DR. HASEEB JAFRI M.D.
Practice Location Address:

8057 WASHINGTON VILLAGE DR
CENTERVILLE, OH
45458-1847

Practice Phone: 937-312-9890
Practice Fax: 937-312-9810

1861774168 — ALLIANCE PHYSICIAN INC
Practice Location Address:

8057 WASHINGTON VILLAGE DR
CENTERVILLE, OH
45458-1847

Practice Phone: 937-312-9890
Practice Fax: 937-312-9810

1891724613 — SCOTT GOODHART DC
Practice Location Address:

8057 WASHINGTON VILLAGE DR
DAYTON, OH
45458-1847

Practice Phone: 937-783-3771
Practice Fax: 888-316-2865

1831292143 — HEALTHQUEST OF BLANCHESTER INC
Practice Location Address:

8057 WASHINGTON VILLAGE DR
DAYTON, OH
45458-1847

Practice Phone: 377-833-7719
Practice Fax: 888-315-2865

1881766772 — DAVID S MILLER PT
Practice Location Address:

8073 WASHINGTON VILLAGE DR , SUITE 110
DAYTON, OH
45458-1847

Practice Phone: 859-268-1201
Practice Fax: 859-268-1202

Directions to “SOUTHWEST CARDIOLOGY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.