MID-AMERICA HEART AND VASCULAR, LLC – NPI #1205476223
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

MID-AMERICA HEART AND VASCULAR, LLC is a provider located in FESTUS, MO. NPPES has assigned the NPI number 1205476223 to MID-AMERICA HEART AND VASCULAR, LLC on January 07, 2020. 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 6 years ago on Jan 16, 2020. 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 MID-AMERICA HEART AND VASCULAR, LLC below.

NPI Profile for
MID-AMERICA HEART AND VASCULAR, LLC

NPI Number
1205476223
Enumeration Date

(more than 6 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
MID-AMERICA HEART AND VASCULAR, LLC
Primary location
1439 US HIGHWAY 61 STE A
FESTUS, MO 63028-4154
Phone: (636) 931-7101 Fax:
1 Other location(s):
513 W Pine St
Farmington, MO 63640-1439
Phone: (573) 701-0090
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AZAMUDDIN KHAJA
PHYSICIAN
Phone: (636) 931-7101
Updated
Certification Date
Jan 16, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.