Provider Demographics
NPI:1992792816
Name:HEART CARE CARDIOLOGY CONSULTANTS, INC.
Entity type:Organization
Organization Name:HEART CARE CARDIOLOGY CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHMULEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-266-9169
Mailing Address - Street 1:PO BOX 3111
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-7111
Mailing Address - Country:US
Mailing Address - Phone:740-266-9169
Mailing Address - Fax:740-266-6933
Practice Address - Street 1:4100 JOHNSON RD
Practice Address - Street 2:SUITE 207
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2356
Practice Address - Country:US
Practice Address - Phone:740-266-9169
Practice Address - Fax:740-266-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062485S207RC0000X
WV14695207RC0000X
PAMD040586E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0848319Medicaid
WV0071448000Medicaid
OH9294561Medicare PIN
OH0848319Medicaid
WV0071448000Medicaid
OH9294563Medicare PIN