Organization Name: | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC |
NPI Number: | 1487781233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY BAHNSEN (CREDENTIALING SUPERVISOR) |
Mailing Address: | 501 Van Buren St Suite 206 Fostoria |
State: | OH US |
Postal Code: | 448301534 |
Phone Number: | 4194357734 |
Fax Number: | 4194366623 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 341898679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |