Organization
INTEGRATED CARDIOLOGY GROUP LLC
Active
Other names
BRYAN HEART
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A ZECCARDI (CHIEF ADMINISTRATIVE OFFICER)
(402) 483-3333
Entity
Organization
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
PO BOX 860879, MINNEAPOLIS, MN 55486-0879
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/10/2006
Last updated
03/14/2024
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