Provider Demographics
NPI:1659470284
Name:CARDIOVASCULAR PARTNERS LLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WIETMARSCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA CHE
Authorized Official - Phone:513-872-5700
Mailing Address - Street 1:350 THOMAS MORE PKWY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5465
Mailing Address - Country:US
Mailing Address - Phone:513-872-5700
Mailing Address - Fax:513-861-0191
Practice Address - Street 1:210 THOMAS MORE PKWY
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3424
Practice Address - Country:US
Practice Address - Phone:513-872-5700
Practice Address - Fax:513-861-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty