Provider Demographics
NPI:1831387786
Name:CARDIOLOGY CARE, P.C.
Entity type:Organization
Organization Name:CARDIOLOGY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SCHERB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-288-9660
Mailing Address - Street 1:707 CEDAR ST
Mailing Address - Street 2:STE 175
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2054
Mailing Address - Country:US
Mailing Address - Phone:574-288-9660
Mailing Address - Fax:574-288-9665
Practice Address - Street 1:707 CEDAR ST
Practice Address - Street 2:STE 175
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2054
Practice Address - Country:US
Practice Address - Phone:574-288-9660
Practice Address - Fax:574-288-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50003816A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100151610Medicaid
INC25588Medicare UPIN
IN166370Medicare PIN