Pediatric Cardiology Of Michiana, Pc
Pediatric Cardiology
Pediatric Cardiology Of Michiana, Pc is a South Bend, Indiana based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
707 N Michigan St, Suite 316, South Bend, Indiana - 46601-1067. They can be contacted on phone at
574-232-3325 and fax number 574-232-3358.
NPI number (Unique professional ID) for Pediatric Cardiology Of Michiana, Pc is
1891816559 which was assigned by NPPES on 02 Apr, 2007 and it was last updated on 17 Jun, 2008.
Pediatric Cardiology Of Michiana, Pc license number is
01034696A for Pediatrics Pediatric Cardiology (2080P0202X) in Indiana.
Pediatric Cardiology Of Michiana, Pc 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 clinical evaluation of cardiovascular disease.
Complete Profile:
Pediatric Cardiology Of Michiana, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Pediatric Cardiology Of Michiana, Pc |
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Business Address:
Pediatric Cardiology Of Michiana, Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 707 N Michigan St, Suite 316
South Bend, IN, 46601-1067
United States |
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| Phone Number : | 574-232-3325 |
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| Fax Number : | 574-232-3358 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891816559 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Apr, 2007 |
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| Last Updated On : | 17 Jun, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Stacy Speckhard |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 574-232-3325 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Cardiology Of Michiana, Pc are as mentioned. Primary taxonomy code for Pediatric Cardiology Of Michiana, Pc is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 01034696A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Cardiology Of Michiana, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000330797001 | Other | IN | BLUE CROSS BLUE SHIELD IN |
| 1761550 | Other | | CIGNA |
| 100475760A | MEDICAID | IN | |
| 4564274 | Other | | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 707 N Michigan St, Suite 316
South Bend, IN, 46601-1067
United States |
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| Phone Number : | 574-232-3325 |
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| Fax Number : | 574-232-3358 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Cardiology Of Michiana, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.