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JETTY HEART CLINIC OF THE INDIANA HEART HOSPITAL LLC
NPI 1366690257
Internal Medicine - Cardiovascular Disease in Anderson, IN

Active since September 04, 2008
1210 MEDICAL ARTS BLVD, SUITE 217, ANDERSON, IN 46011(765) 298-4422(765) 298-4926 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jetty Heart Clinic Of The Indiana Heart Hospital Llc NPPES

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

JETTY HEART CLINIC OF THE INDIANA HEART HOSPITAL LLC (NPI 1366690257) is a healthcare organization registered as a cardiovascular disease in Anderson, Indiana and active in the NPI registry since September 2008. The organization lists Thomas A Malasto, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366690257
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJETTY HEART CLINIC OF THE INDIANA HEART HOSPITAL LLC
Location Address1210 MEDICAL ARTS BLVD, SUITE 217Anderson, IN 46011-3439
Mailing Address1210 Medical Arts Blvd, Suite 217Anderson, IN 46011-3439 · (765) 298-4422 · Fax (765) 298-4926
Phone(765) 298-4422
Fax(765) 298-4926
Organization SubpartNo
Authorized OfficialThomas A MalastoCeo · (317) 621-8050
Enumeration DateSeptember 4, 2008
Last NPPES UpdateOctober 21, 2008
✔ NPI 1366690257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01040154A
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.
1210 MEDICAL ARTS BLVD, Anderson, IN 46011
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN258000IN
Other000000586511IN · Anthem

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

RONALD BEAHM
Pediatrics
1210 MEDICAL ARTS BLVD, SUITE 204
ANDERSON, IN 46011
Madison County (765) 298-4530
COMMUNITY HOSPITALS OF INDIANA
Pediatrics
1210 MEDICAL ARTS BLVD, SUITE 206
ANDERSON, IN 46011
Madison County (765) 298-4520
PULMONARY DISEASE & SLEEP DISORDERS CONSULTANTS OF MADISON CO., P.C.
Specialist
1210 MEDICAL ARTS BLVD, SUITE 214
ANDERSON, IN 46011
Madison County (765) 298-4300
JENNIFER S LEBLO NP
Nurse Practitioner (Family)
1210 MEDICAL ARTS BLVD, SUITE 201
ANDERSON, IN 46011
Madison County (765) 298-5280
DR. JOSEPH CONRAD COPELAND M.D.
Obstetrics & Gynecology
1210 MEDICAL ARTS BLVD, #315
ANDERSON, IN 46011
Madison County (765) 298-4020
COMMUNITY HOSPITALS OF INDIANA, INC
Internal Medicine
1210 MEDICAL ARTS BLVD, SUITE 203
ANDERSON, IN 46011
Madison County (765) 298-4200
DR. JOHN KARL STURMAN JR. M.D.
Psychiatry & Neurology (Neurology)
1210 MEDICAL ARTS BLVD, SUITE 114
ANDERSON, IN 46011
Madison County (765) 298-4545
SUSAN M ANDERSON MD
Psychiatry & Neurology (Psychiatry)
1210 MEDICAL ARTS BLVD, STE 102
ANDERSON, IN 46011
Madison County (765) 298-4111

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 Jetty Heart Clinic Of The Indiana Heart Hospital LLC's NPI number?

The NPI number for Jetty Heart Clinic Of The Indiana Heart Hospital LLC is 1366690257. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is Jetty Heart Clinic Of The Indiana Heart Hospital LLC located?

Jetty Heart Clinic Of The Indiana Heart Hospital LLC is located at 1210 Medical Arts Blvd Suite 217, Anderson, IN 46011. The listed phone number is (765) 298-4422.

What is Jetty Heart Clinic Of The Indiana Heart Hospital LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jetty Heart Clinic Of The Indiana Heart Hospital LLC was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.