Provider Demographics
NPI:1750571915
Name:ADVANCED CARDIOVASCULAR SPECIALISTS
Entity type:Organization
Organization Name:ADVANCED CARDIOVASCULAR SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-425-5614
Mailing Address - Street 1:PO BOX 221197
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40252-1197
Mailing Address - Country:US
Mailing Address - Phone:502-425-5614
Mailing Address - Fax:502-425-5633
Practice Address - Street 1:3801 SPRINGHURST BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6137
Practice Address - Country:US
Practice Address - Phone:502-425-5614
Practice Address - Fax:502-425-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25392207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN7100006010Medicaid
000000487197OtherANTHEM BCBS
KY2864649OtherPASSPORT ADVANTAGE
KY50016391OtherPASSPORT
IN200879220Medicaid
000000487197OtherANTHEM BCBS
KY50016391OtherPASSPORT