CARDIAC CARE ASSOCIATES INC. NPI 1902985443

NPI Information

NPI: 1902985443
Provider Name: CARDIAC CARE ASSOCIATES, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1205 S MAIN ST
SUITE 101
CROWN POINT, IN
ZIP 46307
Phone: (219) 662-0077
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CARDIAC CARE ASSOCIATES, INC. is a cardiovascular disease internal medicine in Crown Point, IN. The provider is 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. CARDIAC CARE ASSOCIATES, INC. NPI is 1902985443. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 S MAIN ST
SUITE 101
CROWN POINT, IN
ZIP 46307-677
Phone: (219) 662-0077
Fax: (219) 661-2155

The provider's authorized official is Boris Sagalovsky .
The authorized official title is President and has the following contact phone number (219) 662-0077.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	708110	MEDICARE PIN	INDIANA
2	100214840A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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