# CA GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619327376
- **Authorized official:** JAMES B DAVIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (618) 257-4644

## Contact information

- **Practice address:** 1404 CROSS ST, SUITE 2940, SHILOH, IL 62269-2988
- **Practice address phone:** (618) 607-3700
- **Practice address fax:** (618) 624-4841
- **Mailing address:** 4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226
- **Mailing address phone:** (618) 257-4644
- **Mailing address fax:** (618) 257-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/14/2016