John R Bertuso in Kingsport - Cardiovascular Disease

John R Bertuso - NPI 1427084342

John R Bertuso is a Cardiovascular Disease in Kingsport, Tennessee. John R Bertuso practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John R Bertuso is 1427084342. The last update date is 2014-12-03.

John R Bertuso's current location address is 105 W Stone Dr, Kingsport, Tennessee. You can contact this provider via phone number 4234087220 and fax number 4234087405. The mailing address for John R Bertuso is 105 W Stone Dr, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Bertuso
Address 105 W Stone Dr, Kingsport, Tennessee
Phone Number 4234087220
Fax Number 4234087405
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1427084342
Provider Enumeration Date 2006-06-23
Last Updated Date 2014-12-03

Provider Mailing Address Detail

Address 105 W Stone Dr
City Kingsport
State Tennessee (TN)
Post Code 376603365
Phone Number 4234087220
Fax Number 4234087405

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 18550
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60013324 KY --
621112685 TN UNITED HEALTHCARE
3030794 TN --
600177 VA --

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FAQs about John R Bertuso

What is the unique identifier code issued to John R Bertuso by the Centers for Medicare & Medicaid Services (CMS)?

The John R Bertuso has been assigned the NPI (National Provider Identifier) 1427084342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where John R Bertuso is located?

The John R Bertuso is situated at the following address: 105 W Stone Dr, Kingsport, TN, 376603365.

What is John R Bertuso's specialized field of practice, and what is the corresponding taxonomy classification code?

The John R Bertuso's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.

On what date did the John R Bertuso receive the assignment of its 1427084342 from the Centers for Medicare & Medicaid Services?

The John R Bertuso was issued its 1427084342 by the Centers for Medicare & Medicaid Services on 2006-06-23.

When was the information regarding John R Bertuso most recently updated?

The details pertaining to the John R Bertuso, including its address, specialty, and other relevant information, were last refreshed on 2014-12-03.

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