Pediatric Cardiology Of Michiana, Pc in South Bend - Pediatric Cardiology

Pediatric Cardiology Of Michiana, Pc - NPI 1891816559

Pediatric Cardiology Of Michiana, Pc is a Pediatric Cardiology in South Bend, Indiana. Pediatric Cardiology Of Michiana, Pc practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Pediatric Cardiology Of Michiana, Pc is 1891816559. The last update date is 2008-06-17.

Pediatric Cardiology Of Michiana, Pc's current location address is 707 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5742323325 and fax number 5742323358. The mailing address for Pediatric Cardiology Of Michiana, Pc is 707 N Michigan St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Cardiology Of Michiana, Pc
Address 707 N Michigan St, South Bend, Indiana
Phone Number 5742323325
Fax Number 5742323358
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Speckhard Stacy
Telephone Number 5742323325

NPI Number Detail

NPI Number 1891816559
Provider Enumeration Date 2007-04-02
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 707 N Michigan St
City South Bend
State Indiana (IN)
Post Code 466011067
Phone Number 5742323325
Fax Number 5742323358

Provider's Primary Taxonomy Detail

Speciality Pediatric Cardiology
Taxonomy 2080P0202X
Licence No 01034696A
Definition:
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100475760A IN --
4564274 AETNA
330797001 IN BLUE CROSS BLUE SHIELD IN
1761550 CIGNA

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FAQs about Pediatric Cardiology Of Michiana, Pc

What is the Pediatric Cardiology Of Michiana, Pc's 1891816559?

The Pediatric Cardiology Of Michiana, Pc's NPI (National Provider Identifier) Number is 1891816559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Pediatric Cardiology Of Michiana, Pc is located?

The Pediatric Cardiology Of Michiana, Pc is situated at the following address: 707 N Michigan St, South Bend, IN, 466011067.

What is the area of specialization for Pediatric Cardiology Of Michiana, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pediatric Cardiology Of Michiana, Pc is Pediatric Cardiology, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891816559 to Pediatric Cardiology Of Michiana, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1891816559 to Pediatric Cardiology Of Michiana, Pc on 2007-04-02.

When was the information related to Pediatric Cardiology Of Michiana, Pc most recently updated or refreshed?

The details pertaining to the Pediatric Cardiology Of Michiana, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-17.

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