Provider Demographics
NPI:1033275524
Name:ARRHYTHMIA SPECIALISTS INC
Entity Type:Organization
Organization Name:ARRHYTHMIA SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CARLETON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:NIBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-935-2070
Mailing Address - Street 1:2700 GRANT ST
Mailing Address - Street 2:319
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2266
Mailing Address - Country:US
Mailing Address - Phone:925-674-2880
Mailing Address - Fax:925-674-2883
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:319
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2266
Practice Address - Country:US
Practice Address - Phone:925-935-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADB0077OtherGROUP MEDICARE RAILROAD N
CAGR0098120Medicaid
CAZZZ079912OtherBLUE SHIELD
CAZZZ079912OtherBLUE SHIELD