Provider Demographics
NPI:1316063142
Name:BIG SPRINGS CARDIOLOGY PSC
Entity type:Organization
Organization Name:BIG SPRINGS CARDIOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-365-0220
Mailing Address - Street 1:114 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-2217
Mailing Address - Country:US
Mailing Address - Phone:270-365-0220
Mailing Address - Fax:270-365-0277
Practice Address - Street 1:114 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-2217
Practice Address - Country:US
Practice Address - Phone:270-365-0220
Practice Address - Fax:270-365-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00602Medicare PIN
KY9735Medicare PIN