Commonwealth Cardiologists Psc, NPI 1144231465
Cardiovascular Disease Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144231465
NPI Entity Type Organization
Provider Name Commonwealth Cardiologists Psc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 210 E Gray St, Suite 1002, Louisville, KY, US
Provider Mailing Address 210 E Gray St, Suite 1002, Louisville, KY, US, 402023900
Is Sole Proprietor? No
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Organization Official

Official Name John T Mcclanahan
Official Position PRACTICE MANAGER
Phone 502-584-2029

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

Commonwealth Cardiologists Psc
210 E Gray St
Suite 1002

Louisville, KY, US

Phone: 502-584-2029
Fax: 502-584-0873

Mailing Address

Commonwealth Cardiologists Psc
210 E Gray St
Suite 1002
Louisville, KY, US
ZIP 402023900
Phone: 502-584-2029
Fax: 502-584-0873

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363L00000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100019450 IN MEDICAID 05
2432852000 KY KY PASSPORT ADVANTAGE 01
65919896 KY MEDICAID 05
1050407 KY KY GROUP PASSPORT 01

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PA-C Brittney R. Judhan

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DO John M Fleming

Individual

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911 Bypass Rd Bldg A

Pikeville, KY

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