PROACTIVE CARDIOLOGY LLC (NPI# 1932489291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932489291 |
| Entity Type | Organization |
| Organization Name | PROACTIVE CARDIOLOGY LLC |
| Practice Address |
2614 Hubbard Rd Madison OH 44057-2530 |
| Mailing Address |
38165 Highgate Bluff Ln Willoughby OH 44094-7735 |
| Practice Telephone | 4409944081 |
| Practice Fax Number | 4402097789 |
| Mailing Telephone | 4409944081 |
| Mailing Fax Number | 4402097789 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Authorized Official Name | DR. MOUHAMAD SAMER KABBANI (OWNER) |
| Authorized Official Telephone | 4409944081 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35090479 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2614 HUBBARD RD |
| City | MADISON |
| State | OH |
| Zip Code | 44057-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1861862336 | Living Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6873 Dave Drive, Madison, OH 44057 | 2015-09-28 |
| 1548526650 | Jessica Cook | Family Medicine | 6270 North Ridge Rd, Madison, OH 44057 | 2012-04-03 |
| 1164651428 | Dr. Edward S. Friedman, Optometrist Inc. | Optometrist | 6067 North Ridge Rd., Madison, OH 44057 | 2009-07-08 |
| 1023259546 | Northern Dental Specialists, Dr. Steven W Gajda | Dentist | 2040 Hubbard Road, Madison, OH 44057 | 2009-03-12 |
| 1295908267 | Nathan Tekavec | Physical Therapist | 2583 Walter Green Commons, Madison, OH 44057 | 2008-04-10 |
| 1124228556 | Alan B Spiegel | Pediatrics | 6270 N. Ridge Road, Lake Health Physician Group Madison Pediatrics, Madison, OH 44057 | 2007-07-24 |
| 1083828149 | Mary Kathleen Tascone | Registered Nurse | 6205 Campbell Dr, Madison, OH 44057 | 2007-05-09 |
| 1801016043 | Donna Marie Jones | Home Health Aide | 6082 N Ridge Rd, Madison, OH 44057 | 2007-04-30 |
| 1356466445 | Kist Family Chiropractic & Wellness Centre Inc. | Chiropractor | 2711 Hubbard Rd, Madison, OH 44057 | 2007-03-20 |
| Find all providers in zip 44057 | ||||
| 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 |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1194998955 | Manoochehr Meshginpoosh | Internal Medicine | 5856 Chapel Rd, Madison, OH 44057-1754 | 2008-04-11 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1821002833 | Alfred E Hutcheson | Internal Medicine | 794 Highway 51, Suite D, Madison, MS 39110-9662 | 2006-07-27 |
| 1396701553 | Zilin Wang | Internal Medicine | 100 Whisper Lake Blvd, Madison, MS 39110-7881 | 2006-04-25 |
| 1396713368 | Bonnie Lynn Hiatt | Internal Medicine | 27 Indigo Trl, Madison, CT 06443-1960 | 2006-03-08 |
| 1861469470 | Tamara S Hagen | Internal Medicine | 811 Potawatomi Dr, Madison, WI 53718 | 2006-03-02 |
| 1619944238 | Douglas B Chapman | Internal Medicine | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2006-03-02 |
| Find all providers in MADISON | ||||
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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.