HEART & VASCULAR CENTER OF WEST TENNESSEE - NPI 1629016399

Q: What is Delta Convenient Care PC's NPI number?

The NPI number for Delta Convenient Care PC is 1629016399. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Heart & Vascular Center Of West Tennessee.

Q: What is Delta Convenient Care PC's specialty?

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

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About Heart & Vascular Center Of West Tennessee NPPES

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

HEART & VASCULAR CENTER OF WEST TENNESSEE (NPI 1629016399) is a healthcare organization registered as a cardiovascular disease in Jackson, Tennessee and active in the NPI registry since June 2006. The organization lists Elie Hage-korban, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629016399

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameDELTA CONVENIENT CARE PC

Location Address17 CENTRE PLAZA DRJackson, TN 38305-2862

Mailing Address17 Centre Plaza DrJackson, TN 38305-2862 · (731) 512-0104 · Fax (731) 512-0938

Phone(731) 512-0104

Fax(731) 512-0938

Organization SubpartNo

Authorized OfficialElie Hage-korbanAuthorized Official · (731) 512-0104

Enumeration DateJune 3, 2006

Last NPPES UpdateJune 5, 2014

✔ NPI 1629016399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedPediatricsTaxonomy 208000000X

17 CENTRE PLAZA DR, Jackson, TN 38305

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Other Names 1

Doing Business AsHeart & Vascular Center Of West Tennessee

Other Identifiers 2

Medicare PIN3720558TN

Medicaid3720558TN

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

Other Providers at the Same Location NPPES 10

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

DR. SIMON OLALEKAN OKEWOLE D.O.

Internal Medicine (Clinical Cardiac Electrophysiology)