PROVIDENCE CARDIOVASCULAR LAB, LLC (NPI# 1467773119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467773119 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARDIOVASCULAR LAB, LLC |
| Practice Address |
2723 S 7th St Ste A Terre Haute IN 47802-3558 |
| Practice Telephone | 8122328164 |
| Practice Fax Number | 8122421565 |
| Mailing Telephone | 8122328164 |
| Mailing Fax Number | 8122421565 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | GEORGE B BITTAR (OWNER) |
| Authorized Official Telephone | 8122328164 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
IN | Ambulatory Health Care Facilities |
| Street Address |
2723 S 7TH ST STE A |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447282256 | Jean P Mercho | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2006-07-06 |
| 1649888744 | Makenzie Elaine Utterback | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2020-07-15 |
| 1942843644 | Stephanie Mendez | Nurse Practitioner | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2019-10-25 |
| 1669026944 | Amber Nicole Wilcox | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2019-07-25 |
| 1366925026 | Dakotah Michelle Horrall | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2018-09-10 |
| 1265925077 | John Andrew Schmidt | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2018-06-07 |
| 1942711643 | Staci Rice | Nurse Practitioner | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2017-10-20 |
| 1023497617 | Ashley Stakeman | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2015-05-28 |
| 1790175602 | Taylor Stone | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802 | 2015-01-30 |
| 1639582596 | Matthew S Lee | Physician Assistant | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217928 | Midwest Surgery Centers, Inc. | Clinic/Center | 650 E Surgery Center Dr, Terre Haute, IN 47802-4499 | 2005-10-05 |
| 1871799510 | Terre Haute Surgical Center LLC | Clinic/Center | 227 E Mccallister Dr, Terre Haute, IN 47802-4248 | 2007-06-21 |
| 1972576262 | Terre Haute Heart Center, Inc | Clinic/Center | 455 E Hospital Ln, Terre Haute, IN 47802-4245 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on PROVIDENCE CARDIOVASCULAR LAB, LLC.
| 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.