AG CARDIOLOGY, INC
NPI 1174700306
Internal Medicine - Cardiovascular Disease in Georgetown, OH

Active since January 30, 2008CLIA 36D1009836 · Waiver
5062 STATE ROUTE 125, GEORGETOWN, OH 45121(937) 378-9090(937) 378-0102 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ag Cardiology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AG CARDIOLOGY, INC (NPI 1174700306) is a healthcare organization registered as a cardiovascular disease in Georgetown, Ohio and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Ali R Ghasemzadeh, Owner President, as its authorized official.

NPPES Registry Identity

NPI1174700306
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameAG CARDIOLOGY, INC
Location Address5062 STATE ROUTE 125Georgetown, OH 45121-9561
Mailing AddressPo Box 577Georgetown, OH 45121-0577 · (937) 378-9090 · Fax (937) 378-0102
Fax(937) 378-0102
Organization SubpartNo
Authorized OfficialAli R GhasemzadehOwner President · (937) 378-9090
Enumeration DateJanuary 30, 2008
Last NPPES UpdateMarch 27, 2012
NPI 1174700306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in OH · 35080480G Licensed in KY · 38551
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5062 STATE ROUTE 125, Georgetown, OH 45121

Other Identifiers 5

Medicaid2291738OH
Medicare UPINF40123
Medicare PIN9047KY
Medicaid64073497KY
Medicare PIN9320381OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1009836

Ag Cardiology · Georgetown, OH
Active · expires Feb 25, 2027
CLIA Number36D1009836
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorAli Ghasemzadeh MD
Laboratory Phone(937) 378-9090
Laboratory LocationAg Cardiology5062 State Route 125, Georgetown, OH 45121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
5062 STATE ROUTE 125
GEORGETOWN, OH 45121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ag Cardiology, Inc's NPI number?

The NPI number for Ag Cardiology, Inc is 1174700306. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Ag Cardiology, Inc located?

Ag Cardiology, Inc is located at 5062 State Route 125, Georgetown, OH 45121. The listed phone number is (937) 378-9090.

What is Ag Cardiology, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Ag Cardiology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1009836) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ag Cardiology, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Ag Cardiology, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ag Cardiology, Inc was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.