CAPITOL INTERVENTIONAL CARDIOLOGY A MEDICAL GROUP (NPI# 1104920578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920578 |
| Entity Type | Organization |
| Organization Name | CAPITOL INTERVENTIONAL CARDIOLOGY A MEDICAL GROUP |
| Other Organization Name | CARMICHAEL NUCLEAR IMAGING |
| Practice Address |
6347 Coyle Ave Carmichael CA 95608-0438 |
| Practice Telephone | 9169674278 |
| Practice Fax Number | 9169670385 |
| Mailing Telephone | 9169674278 |
| Mailing Fax Number | 9169670385 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | DR. JONATHAN ARN HEMPHILL (PARTNER) |
| Authorized Official Telephone | 9169674278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
CA | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA | 4453651 | 01 |
| CA | GR0057020 | 05 |
| Other Name | Type Code |
|---|---|
| Carmichael Nuclear Imaging | Doing Business As Name - Organization |
| Street Address |
6347 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609264704 | Prema Reddy Bezwada | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2014-12-26 |
| 1598845505 | Nuclear Physicians Medical Group | Nuclear Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-10-16 |
| 1215038930 | Scott Bernard Baron | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-09-26 |
| 1326142795 | Daniel Craig Fisher | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-09-07 |
| 1952405326 | Jonathan Arn Hemphill | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518228774 | Aung-win Chiong | Internal Medicine | 1125 Kingsford Dr, Carmichael, CA 95608-6161 | 2012-06-05 |
| 1487817383 | David S Lao | Internal Medicine | 6555 Coyle Ave Ste 380, Carmichael, CA 95608-0302 | 2008-07-10 |
| 1346350493 | Timothy Y. Lee | Internal Medicine | 6401 Coyle Ave Ste 416, Carmichael, CA 95608 | 2006-08-30 |
| 1609264704 | Prema Reddy Bezwada | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2014-12-26 |
| 1639305295 | Sundeep Adusumalli | Internal Medicine | 6555 Coyle Ave Ste 380, Carmichael, CA 95608-0302 | 2009-06-09 |
| 1013083179 | Mehrdad Jafarzadeh | Internal Medicine | 6401 Coyle Ave Ste 416, Carmichael, CA 95608 | 2006-11-28 |
| 1194897256 | David A Bayne | Internal Medicine | 6401 Coyle Avenue, Suite 416, Carmichael, CA 95608-0310 | 2006-11-14 |
| 1396817474 | Nick Majetich Jr. | Internal Medicine | 6401 Coyle Ave, Ste 416, Carmichael, CA 95608 | 2006-11-14 |
| 1215038930 | Scott Bernard Baron | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-09-26 |
| 1326142795 | Daniel Craig Fisher | Internal Medicine | 6347 Coyle Ave, Carmichael, CA 95608-0438 | 2006-09-07 |
| Find all providers in CARMICHAEL | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
Please comment or provide details below to improve the information on CAPITOL INTERVENTIONAL CARDIOLOGY A MEDICAL GROUP.
| 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.