Provider Demographics
NPI:1700172343
Name:TOTAL CARDIAC CARE, PSC
Entity Type:Organization
Organization Name:TOTAL CARDIAC CARE, PSC
Other - Org Name:TOTAL CARDIAC CARE, PSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-371-2600
Mailing Address - Street 1:11 SPIRAL DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4845
Mailing Address - Country:US
Mailing Address - Phone:859-371-2600
Mailing Address - Fax:859-372-5923
Practice Address - Street 1:11 SPIRAL DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4845
Practice Address - Country:US
Practice Address - Phone:859-371-2600
Practice Address - Fax:859-372-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34438207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty