CARDIOLOGY DIAGNOSTICS, LTD. (NPI# 1417128372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417128372 |
| Entity Type | Organization |
| Organization Name | CARDIOLOGY DIAGNOSTICS, LTD. |
| Practice Address |
1101 Weber Rd Suite 105 Farmington MO 63640-3326 |
| Mailing Address |
2325 Dougherty Ferry Rd Suite 205 Saint Louis MO 63122-3356 |
| Practice Telephone | 5737010222 |
| Practice Fax Number | 5737010220 |
| Mailing Telephone | 3149669888 |
| Mailing Fax Number | 3149665957 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. MARC K LEWEN (VICE PRESIDENT) |
| Authorized Official Telephone | 3149669888 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778761 | Cardiology Diagnostics, Ltd. | Internal Medicine | 2325 Dougherty Ferry Rd, Suite 205, Saint Louis, MO 63122-3356 | 2006-05-18 |
| Street Address |
1101 WEBER RD SUITE 105 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076377 | Daleco Inc | Pharmacy | 1101 Weber Rd, Farmington, MO 63640-3352 | 2005-07-07 |
| 1073900874 | Kimberly Herbst | Pharmacist | 1101 Weber Rd, Farmington, MO 63640-3352 | 2015-04-20 |
| 1386921195 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-11-08 |
| 1316223944 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-10-27 |
| 1841574779 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2011-10-11 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1417287897 | Farmington Clinic Company LLC | Urology | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3352 | 2010-01-06 |
| 1366600165 | Danielle Redecker | Pharmacist | 1101 Weber Rd, Suite 100, Farmington, MO 63640-3326 | 2008-05-28 |
| 1548459472 | Coleman Medical Clinic | Family Medicine | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3326 | 2007-10-16 |
| 1750480885 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd, Suite 101, Farmington, MO 63640-3326 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1881863009 | The Heart Health Center, PC | Internal Medicine | 620 Maple Valley Dr, Farmington, MO 63640-1976 | 2008-02-21 |
| 1598942468 | Alix Junior Tercius | Internal Medicine | University of Connecticut Health Center, 260 Farmington Ave, Farmington, CT 06032 | 2008-01-23 |
| 1477643179 | Utah Cardiology PC | Internal Medicine | 444 W Bourne Circle, Suite 200, Farmington, UT 84025 | 2006-10-13 |
| 1225023328 | Scott H West | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2005-09-14 |
| 1952786055 | Hhc Health Care, LLC | Internal Medicine | 1151 Hazel Lane, Farmington, MO 63640 | 2015-07-30 |
| 1639515869 | Daniel Taylor Fronk | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2013-05-15 |
| 1053602672 | Mariam Shakir Azeem | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2011-04-30 |
| 1457650442 | Christopher Y Kim | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2011-03-16 |
| 1427216860 | Juyong Lee | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-4038 | 2008-05-31 |
| 1720269467 | Heiko J Schmitt | Internal Medicine | 263 Farmington Ave, Cardiology Associates, Farmington, CT 06030-0001 | 2007-11-23 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.