Provider Demographics
NPI:1164486593
Name:CARDIOLOGY PHYSICIANS ASSOCIATES
Entity Type:Organization
Organization Name:CARDIOLOGY PHYSICIANS ASSOCIATES
Other - Org Name:PIEDMONT CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-261-0009
Mailing Address - Street 1:2660 TATE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1465
Mailing Address - Country:US
Mailing Address - Phone:828-261-0009
Mailing Address - Fax:828-261-0109
Practice Address - Street 1:2660 TATE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1465
Practice Address - Country:US
Practice Address - Phone:828-261-0009
Practice Address - Fax:828-261-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901068Medicaid
NC01068OtherBLUE CROSS BLUE SHIELD
NCCE1827OtherRAIL ROAD MEDICARE
NC2320579Medicare PIN