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EASTERN SHORE HEART CENTER
NPI 1740394105
Specialist in Fairhope, AL

Active since August 19, 2006
19725 SOUTH GREENO ROAD, FAIRHOPE, AL 36532(251) 990-1930(251) 990-1931 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastern Shore Heart Center NPPES

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

EASTERN SHORE HEART CENTER (NPI 1740394105) is a healthcare organization registered as a specialist in Fairhope, Alabama and active in the NPI registry since August 2006. The organization lists Craig R Peterson, Physician /president, as its authorized official.

NPPES Registry Identity

NPI1740394105
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTERN SHORE HEART CENTER
Location Address19725 SOUTH GREENO ROADFairhope, AL 36532-3843
Mailing Address19725 South Greeno RoadFairhope, AL 36532-3843 · (251) 990-1930 · Fax (251) 990-1931
Phone(251) 990-1930
Fax(251) 990-1931
Organization SubpartNo
Authorized OfficialCraig R PetersonPhysician /president · (251) 990-1930
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 17, 2008
✔ NPI 1740394105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
19725 SOUTH GREENO ROAD, Fairhope, AL 36532
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Other Identifiers 2

Medicare PINK744AL
Medicare UPINB63471AL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Heart Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Shore Heart Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Peterson, M.D.
Cardiovascular Disease (Cardiology)
NPI 1619923844
19725 SOUTH GREENO ROAD
Fairhope, AL 36532
(251) 990-1930
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eastern Shore Heart Center's NPI number?

The NPI number for Eastern Shore Heart Center is 1740394105. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Eastern Shore Heart Center located?

Eastern Shore Heart Center is located at 19725 South Greeno Road, Fairhope, AL 36532. The listed phone number is (251) 990-1930.

What is Eastern Shore Heart Center's specialty?

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

Is Eastern Shore Heart Center enrolled in Medicare?

Yes. Eastern Shore Heart Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Heart Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Eastern Shore Heart Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Shore Heart Center was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.