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NPI Code Detail

MEDICARE: CARDIOVASCULAR ASSOCIATES PSC

MEDICARE: CARDIOVASCULAR ASSOCIATES 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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CL.0058OTHERKYRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32435915000OTHERKYPASSPORT ADVANTAGE GROUP
41090473OTHERKYPASSPORT GROUP NUMBER
5000000057322OTHERKYANTHEM GROUP NUMBER

General Provider Information

NPI Number : 1598707242
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ASSOCIATES PSC
Provider Business Mailing Address
First Line : PO BOX 20129
Second Line :
City : LOUISVILLE
State : KY
Zip : 40250-0129
Country : US
Telephone Number : 502-891-8300
Fax Number :
Provider Business Practice Location Address
First Line : 300 HIGH POINT CT
Second Line :
City : MT WASHINGTON
State : KY
Zip : 40047-6560
Country : US
Telephone Number : 502-891-8300
Fax Number :
Authorized Official
Title or Position : MANAGING PHYSICIAN
Name : JANET L SMITH
Credential : MD
Telephone Number : 502-891-8300
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/22/2020

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