MMR CARDIOVASCULAR CONSULTING LLC


Address: 1101 Glenlake Way, Louisville, KY 40245
Phone: 3183932575

MMR CARDIOVASCULAR CONSULTING LLC (NPI# 1104356567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104356567
Entity Type Organization
Organization Name MMR CARDIOVASCULAR CONSULTING LLC
Practice Address 1101 Glenlake Way
Louisville
KY 40245
Mailing Address Po Box 3276
Evansville
IN 47731-3276
Practice Telephone 3183932575
Mailing Telephone 8124730181
Mailing Fax Number 8124735822
Enumeration Date 2017-06-18
Last Update Date 2018-06-22
Authorized Official Name MATHEW CL KEITH (OWNER)
Authorized Official Telephone 3183932575
Authorized Official Credential MD, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Office Location

Street Address 1101 GLENLAKE WAY
City LOUISVILLE
State KY
Zip Code 40245

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1952830135 Staci Marie Trofimov Dietitian, Registered 13008 Willow Forest Drive, Louisville, KY 40245 2017-06-09
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1861867830 Jamila Hadden Counselor 111 Parkview Dr., Louisville, KY 40245 2015-12-02
1538570312 Brian Johnson Case Manager/Care Coordinator 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 2014-05-14
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881182657 Have A Heart Foundation Inc Internal Medicine 310 E Broadway Ste 100, Louisville, KY 40202-1745 2018-04-27
1992246953 Northeast Cardiology Pllc Internal Medicine 1313 St.anthony Place, Louisville, KY 40204-0130 2017-03-10
1427410596 Lauren Albers Internal Medicine 550 South Jackson St, Louisville, KY 40202 2016-03-28
1396138202 Louisville Cardiovascular Care Pllc Internal Medicine 1411 Hadleigh Pl, Louisville, KY 40222-5652 2015-03-17
1629481270 Harleen Chahil Internal Medicine 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 2014-06-10
1831415579 Geko Inc Internal Medicine 1552 Ormsby Station Ct, Louisville, KY 40223-4019 2010-04-19
1215179908 Matthew Cody Lee Keith Internal Medicine 9070 Dixie Hwy Ste 6, Louisville, KY 40258-1007 2009-03-27
1578691622 John Loughran Jr. Internal Medicine 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 2007-03-01
1316024722 Cardiology of Kentucky Internal Medicine 4003 Kresge Way Ste 221, Louisville, KY 40207-4652 2006-11-01
1710915749 Cardiovascular Associates Psc Internal Medicine Norton Suburban Medical Plaza IIi, Suite 102, Louisville, KY 40207 2006-06-29
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Competitor

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City LOUISVILLE
Zip Code 40245

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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