CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES – NPI #1164452900
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.

Health Care Provider Taxonomy Code for Internal Medicine

CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES is a provider located in SPRINGFIELD, OH. NPPES has assigned the NPI number 1164452900 to CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 9 years ago on Jan 30, 2017. 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 CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES below.

NPI Profile for
CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES

NPI Number
1164452900
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
CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES
Primary location
100 W. MCCREIGHT AVE
STE 150
SPRINGFIELD, OH 45504
Phone: (937) 323-1404 Fax: (937) 323-1407
Mailing address
Same as primary location
Organization Subpart
Yes - CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES is subpart of another organization.
Authorized Official
SUSAN GABBARD
PRACTICE ADMINISTRATOR
Phone: (937) 523-9555
Updated
Identifiers

Identifiers for CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES

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
OTHERRAILROAD MEDICAREOHCM7602
MEDICAIDOH0942412
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)		 OH 207RC0000X

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.