COLUMBUS CARDIOVASCULAR CARE PLLC – NPI #1063425486
Internal Medicine

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.

COLUMBUS CARDIOVASCULAR CARE PLLC is a provider located in COLUMBUS, MS. NPPES has assigned the NPI number 1063425486 to COLUMBUS CARDIOVASCULAR CARE PLLC on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Jul 05, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLUMBUS CARDIOVASCULAR CARE PLLC below.

NPI Profile for
COLUMBUS CARDIOVASCULAR CARE PLLC

NPI Number
1063425486
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBUS CARDIOVASCULAR CARE PLLC
Primary location
255 BAPTIST BLVD
SUITE 402
COLUMBUS, MS 39705-2011
Phone: (662) 240-1412 Fax: (662) 240-1949
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL BOLAND
OWNER
Phone: (662) 240-1412
Updated
Identifiers

Identifiers for COLUMBUS CARDIOVASCULAR CARE PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00115039
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.