INDIANA CARDIAC & VASCULAR CONSULTANTS (NPI# 1407025471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407025471 |
| Entity Type | Organization |
| Organization Name | INDIANA CARDIAC & VASCULAR CONSULTANTS |
| Other Organization Name | CENTRAL INDIANA PULMONARY CONSULTANTS |
| Practice Address |
2209 John R Wooden Dr Martinsville IN 46151-1840 |
| Practice Telephone | 7653467025 |
| Practice Fax Number | 7653496442 |
| Mailing Telephone | 7653467025 |
| Mailing Fax Number | 7653496442 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | HABIB JOHN KOMARI (OWNER) |
| Authorized Official Telephone | 3178877700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Central Indiana Pulmonary Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467673749 | Indiana Cardiac & Vascular Consultants | Family Medicine | 389 E Morgan St, Suite #3, Martinsville, IN 46151-4531 | 2007-05-02 |
| 1629177076 | Indiana Cardiac & Vascular Consultants | Specialist | 1101 W Jefferson St, Suite J, Franklin, IN 46131-2147 | 2006-09-22 |
| 1326069162 | Indiana Cardiac & Vascular Consultants | Specialist | 1350 E County Line Rd, Suite J, Indianapolis, IN 46227-0873 | 2006-07-21 |
| 1407875636 | Indiana Cardiac & Vascular Consultants | Specialist | 50 Willow St, Suite C, Nashville, IN 47448-7031 | 2006-07-19 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245429372 | Southern Virginia Eye Care, Inc. | Specialist | 1103 Brookdale St Ste D, Martinsville, VA 24112-4531 | 2007-10-15 |
| 1336293851 | Ella Mae Wickham | Specialist | 224 Starling Ave, Martinsville, VA 24112-3833 | 2007-01-22 |
| 1780609412 | Edward Philip Snyder | Specialist | 101 Cleveland Ave Ste 6, Martinsville, VA 24112-3700 | 2006-07-13 |
| 1881666857 | John William Selman | Specialist | 435 Commonwealth Blvd E, Martinsville, VA 24112-2014 | 2006-02-03 |
| 1316917693 | Paul Edward Ashbrook | Specialist | 1111 Spruce St, Martinsville, VA 24112-4508 | 2006-01-26 |
| 1811221229 | Children's Medical Center, Ltd. | Specialist | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2009-10-01 |
| 1982890521 | Todd A Gerl | Specialist | 315 Hospital Dr, Suite 104, Martinsville, VA 24112-1945 | 2007-09-18 |
| 1164617908 | Martinsville Otolaryngology Associates, Inc | Specialist | 435 Commonwealth Blvd E, Martinsville, VA 24112-2014 | 2007-09-13 |
| 1427255561 | Ahmad T. Haq, M.d., P.C. | Specialist | 26 Broad St, Martinsville, VA 24112-2802 | 2007-07-02 |
| 1639380512 | K. A. Hamdy, M.d., P.C. | Specialist | 314 Fairy Street Ext, Suite B, Martinsville, VA 24112-1913 | 2007-05-24 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
Please comment or provide details below to improve the information on INDIANA CARDIAC & VASCULAR CONSULTANTS.
| 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.