CARDIOVASCULAR GROUP LLC (NPI# 1609180066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609180066 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR GROUP LLC |
| Practice Address |
501 Plush Mill Rd Wallingford PA 19086-6040 |
| Mailing Address |
1 Bartol Ave Ste 10 Ridley Park PA 19078-2214 |
| Practice Telephone | 6105210150 |
| Practice Fax Number | 6105216493 |
| Mailing Telephone | 6105210150 |
| Mailing Fax Number | 6105216493 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | SAMUEL R RUBY (SENIOR PARTNER) |
| Authorized Official Telephone | 6105210150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CARDIOVASCULAR GROUP LLC |
| 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 |
|---|---|---|---|---|
| 1427362870 | Cardiovascular Group LLC | Internal Medicine | 145 S Brinton Lake Rd, Glen Mills, PA 19342-2281 | 2010-07-27 |
| 1427050806 | Cardiovascular Group LLC | Internal Medicine | 1 Bartol Ave, Ste 10, Ridley Park, PA 19078-2214 | 2005-08-15 |
| Street Address |
501 PLUSH MILL RD |
| City | WALLINGFORD |
| State | PA |
| Zip Code | 19086-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124283 | Bernadette M Grandieri | Speech-Language Pathologist | 501 Plush Mill Rd, Wallingford, PA 19086-6040 | 2017-10-03 |
| 1023492923 | Kiersten Bolton-dortone | Occupational Therapist | 501 Plush Mill Rd, Wallingford, PA 19086-6040 | 2015-07-10 |
| 1295122190 | Ashley Ann Morgan-johnson | Speech-Language Pathologist | 501 Plush Mill Rd, Wallingford, PA 19086-6040 | 2015-04-20 |
| 1114316668 | Katherine Miller | Speech-Language Pathologist | 501 Plush Mill Rd, Wallingford, PA 19086-6040 | 2015-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
| 1235633637 | Katharina Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 100 Blackthorn Rd, Wallingford, PA 19086 | 2018-03-20 |
| 1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
| 1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
| 1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
| 1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
| 1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
| 1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
| 1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| Find all providers in zip 19086 | ||||
| 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 |
|---|---|---|---|---|
| 1144630328 | Allison Padegimas | Internal Medicine | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2014-04-28 |
| 1629005004 | John S Zesk | Internal Medicine | 97 Barnes Road, Wallingford, CT 06492 | 2006-06-28 |
| 1851395651 | Robert Joel Golub | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| 1568828259 | Norman Roth | Internal Medicine | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2016-01-11 |
| 1710145420 | John Dinkler | Internal Medicine | 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-6012 | 2008-05-29 |
| 1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1720017049 | George Spivack | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1952351520 | Cardiology Associates of Central Connecticut,llc | Internal Medicine | 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-6012 | 2006-05-12 |
| 1417951203 | William Joseph Farrell | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| 1073517850 | Richard Alexander Bugliari | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 19086 |
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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.