Organization
CARDIOVASCULAR ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L SMITH MD (MANAGING PHYSICIAN)
(502) 891-8300
Entity
Organization
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 350, LOUISVILLE, KY 40217-1319
(502) 891-8300
Mailing address
PO BOX 20129, LOUISVILLE, KY 40250-0129
(502) 891-8300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057322
ANTHEM GR NUMBER
KY
01
—
1090473
PASPORT GROUP NUMBER
KY
01
—
2435915000
PASSPORT ADVANTAGE NUMBER
KY
05
—
65900193
—
KY
01
—
CL0058
RAILRAOD MEDICARE GROUP
KY
Enumeration date
06/07/2006
Last updated
08/22/2020
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