Provider Demographics
NPI:1871664383
Name:CARDIOVASCULAR ASSOCIATES OF THE VI, PLLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR ASSOCIATES OF THE VI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-713-7000
Mailing Address - Street 1:4100 SION FARM SHOPP CTR
Mailing Address - Street 2:SUITE #5
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4433
Mailing Address - Country:US
Mailing Address - Phone:340-713-7000
Mailing Address - Fax:340-713-7001
Practice Address - Street 1:4100 SION FARM SHOPP CTR
Practice Address - Street 2:SUITE #5
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4433
Practice Address - Country:US
Practice Address - Phone:340-713-7000
Practice Address - Fax:340-713-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0084972Medicare PIN