INDIANA HEART HOSPITAL LLC (NPI# 1356501977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356501977 |
| Entity Type | Organization |
| Organization Name | INDIANA HEART HOSPITAL LLC |
| Other Organization Name | COMMUNITY CARDIOLOGY |
| Practice Address |
2209 John R Wooden Dr Martinsville IN 46151-1840 |
| Practice Telephone | 7653496710 |
| Mailing Telephone | 7653496710 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. THOMAS MALASTO (CEO) |
| Authorized Official Telephone | 3176218050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200539450A | 05 |
| Other Name | Type Code |
|---|---|
| Community Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239262 | Indiana Heart Hospital LLC | Orthopaedic Surgery | 14540 Prairie Lakes Blvd North, Suite 105, Noblesville, IN 46060-4370 | 2011-05-11 |
| 1427226893 | Indiana Heart Hospital LLC | Internal Medicine | 1210b Medical Arts Blvd, Suite 217, Anderson, IN 46011-3461 | 2008-02-19 |
| 1104032671 | Indiana Heart Hospital LLC | Internal Medicine | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2007-05-14 |
| Street Address |
2209 JOHN R WOODEN DR |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717928 | Stephen L Hardin | Family Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2005-08-11 |
| 1609497247 | John D Bowman | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-05-06 |
| 1356977540 | Giesla Potter | Dietitian, Registered | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-03-19 |
| 1275036147 | Amanda Jo Throckmorton | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2018-03-16 |
| 1629584396 | In Post Acute Specialists, PC | Emergency Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2017-12-18 |
| 1588015762 | Fnu Taneem Sultana | Internal Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2016-06-28 |
| 1255716114 | James Branam | Counselor | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2015-07-21 |
| 1316344260 | Diane Kutruff | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-11-20 |
| 1508263443 | Susan Ksenak | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-11-20 |
| 1407256852 | Lori Wronowicz Frasher | Nurse Practitioner | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| 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 |
|---|---|---|---|---|
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1619215852 | Sarnelle Diagnostic LLC | Internal Medicine | 15 Davis Ct, Martinsville, NJ 08836-2316 | 2013-01-23 |
| 1518291715 | Union Associated Physicians Clinic, LLC | Internal Medicine | 890 Ridgelawn Road, Martinsville, IL 62442-0399 | 2009-09-22 |
| 1275692717 | Jack Allan Painter | Internal Medicine | 26 Broad St, Martinsville, VA 24112-2802 | 2006-12-08 |
| 1437117579 | Deepak D. Banerjee | Internal Medicine | 319 Hospital Drive, Suite 102, Martinsville, VA 24112 | 2006-05-01 |
| 1346240785 | Mark Lebenthal | Internal Medicine | 1001 Laurel Trl, Martinsville, NJ 08836-2212 | 2005-07-28 |
| 1770967770 | Mark Lebenthal Md LLC | Internal Medicine | 1001 Laurel Trl, Martinsville, NJ 08836-2212 | 2015-07-20 |
| 1841452018 | Heart of Virginia PC | Internal Medicine | 26 Broad St, Martinsville, VA 24112-2802 | 2008-06-30 |
| 1548477664 | Indiana Heart Physicians, Inc. | Internal Medicine | 2200 John R Wooden Dr, Suite 100, Martinsville, IN 46151-1863 | 2007-05-17 |
| 1750334124 | Indiana Heart Associates PC | Internal Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2006-05-18 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
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| 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.