CLARK CARDIOLOGY – NPI #1508204223
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.

CLARK CARDIOLOGY is a provider located in WINCHESTER, KY. NPPES has assigned the NPI number 1508204223 to CLARK CARDIOLOGY on June 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARK CARDIOLOGY” is a dba name, the actual legal business name for this organization is CLARK REGIONAL PHYSICIAN PRACTICES LLC. 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 9 years ago on Sep 27, 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 CLARK CARDIOLOGY below.

NPI Profile for
CLARK REGIONAL PHYSICIAN PRACTICES LLC

NPI Number
1508204223
Enumeration Date

(more than 13 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
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Doing Business As (dba): CLARK CARDIOLOGY
Primary location
225 HOSPITAL DR
SUITE 300A
WINCHESTER, KY 40391-7676
Phone: (859) 737-6555 Fax: (859) 737-6650
Mailing address
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone: (615) 920-7905 Fax: (615) 920-8935
Organization Subpart
No
Authorized Official
SARA MILLER
DIRECTOR
Phone: (615) 202-9581
Updated
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)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.