Ca Group, LLC

Cardiovascular Disease Physician · O Fallon, IL

Organization Active NPI

NPI number 1255634424

Practice location

310 N Seven Hills Rd
Ste 150
O Fallon, IL 62269-4111
Phone
(618) 632-1495
Fax
(618) 624-0840

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NPI record

NPI
1255634424
Entity type
Organization (Type 2)
Enumeration date
December 9, 2010
Last updated
February 21, 2013
Organization subpart
Yes
Parent organization
Ca Group, LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Cardiovascular Disease Physician Primary 207RC0000X — —

Mailing address

4500 Memorial Dr
Medical Affairs Credentialing Department
Belleville, IL 62226-5360
Phone
(618) 257-4644
Fax
(618) 257-6946

Authorized official

Name
James B. Davis
Title
Executive Director
Phone
(618) 257-4644

About Ca Group, LLC

Ca Group, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Cardiovascular Disease Physician (code 207RC0000X). The practice location is 310 N Seven Hills Rd, Ste 150, O Fallon, IL 62269-4111. The NPI number 1255634424 was assigned on December 9, 2010 and the record was last updated on February 21, 2013.

The authorized official for this organization is James B. Davis, Executive Director.

Frequently asked questions

What is the NPI number of Ca Group, LLC?

The NPI number is 1255634424.

What is the phone number of Ca Group, LLC?

The phone number listed for the practice location is (618) 632-1495.

Where is Ca Group, LLC located?

310 N Seven Hills Rd, Ste 150, O Fallon, IL 62269-4111.

What is the taxonomy code for Ca Group, LLC?

The primary taxonomy code is 207RC0000X – Cardiovascular Disease Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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