Provider Demographics
NPI:1518932003
Name:CARDIOVASCULAR CONSULTANTS OF IN. P.C.
Entity Type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF IN. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:P
Authorized Official - Last Name:LLOBET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-554-4080
Mailing Address - Street 1:7217 INDIANAPOLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-2213
Mailing Address - Country:US
Mailing Address - Phone:219-554-4080
Mailing Address - Fax:219-554-4085
Practice Address - Street 1:7217 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-2213
Practice Address - Country:US
Practice Address - Phone:219-554-4080
Practice Address - Fax:219-554-4085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038128A207RI0011X
IN71000524A363LA2200X
IN28133002A364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200067750AMedicaid
INCC3421OtherMEDICARE RAILROAD
IN200067750CMedicaid
IN200067750AMedicaid
INCC3421OtherMEDICARE RAILROAD