DELTA CARDIOVASCULAR CENTER, PC
NPI 1386725513
Specialist in Clarksdale, MS

Active since October 17, 2006
520 MEDICAL DR, CLARKSDALE, MS 38614(662) 621-1915(662) 621-9022 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Delta Cardiovascular Center, Pc NPPES

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

DELTA CARDIOVASCULAR CENTER, PC (NPI 1386725513) is a healthcare organization registered as a specialist in Clarksdale, Mississippi and active in the NPI registry since October 2006. The organization lists Roger D Weiner, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1386725513
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDELTA CARDIOVASCULAR CENTER, PC
Location Address520 MEDICAL DRClarksdale, MS 38614-6732
Mailing Address520 Medical DrClarksdale, MS 38614-6732 · (662) 621-1915 · Fax (662) 621-9022
Fax(662) 621-9022
Organization SubpartNo
Authorized OfficialRoger D WeinerCeo/president · (662) 621-1915
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 4, 2014
NPI 1386725513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 16396
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
520 MEDICAL DR, Clarksdale, MS 38614

Other Identifiers 3

Medicaid08952038MS
Medicaid158639002AR
Medicare ID-Type UnspecifiedC02833MS

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

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

Nurse Practitioner (Family)
520 MEDICAL DR
CLARKSDALE, MS 38614

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 Delta Cardiovascular Center, PC's NPI number?

The NPI number for Delta Cardiovascular Center, PC is 1386725513. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Delta Cardiovascular Center, PC located?

Delta Cardiovascular Center, PC is located at 520 Medical Dr, Clarksdale, MS 38614. The listed phone number is (662) 621-1915.

What is Delta Cardiovascular Center, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Delta Cardiovascular Center, PC was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.