Provider Demographics
NPI:1306942727
Name:HEART INSTITUTE OF NORTHWEST OHIO
Entity type:Organization
Organization Name:HEART INSTITUTE OF NORTHWEST OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:A
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:BAMDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-224-5915
Mailing Address - Street 1:951 COMMERCE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-4040
Mailing Address - Country:US
Mailing Address - Phone:419-224-5915
Mailing Address - Fax:419-228-2016
Practice Address - Street 1:951 COMMERCE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-4040
Practice Address - Country:US
Practice Address - Phone:419-224-5915
Practice Address - Fax:419-228-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2252584Medicaid
CH7860OtherRAILROAD MEDICARE
OHHE9316461Medicare PIN
OH9316461Medicare PIN