Organization
MEDICAL CENTER CARDIOLOGISTS, PSC
Active
Parent organization
MEDICAL CENTER CARDIOLOGISTS, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL CENTER CARDIOLOGISTS, PSC
Authorized official
DR. JESSE E. ADAMS III M.D. (PRESIDENT)
(502) 585-4321
Entity
Organization
Contact information
Practice address
100 MALLARD CREEK RD, SUITE 390, LOUISVILLE, KY 40207-4194
(502) 899-1213
Mailing address
PO BOX 2409, LOUISVILLE, KY 40201-2409
(502) 585-4321
(502) 895-6083
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908808
—
KY
05
—
78902632
—
KY
Enumeration date
05/21/2007
Last updated
09/27/2007
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