Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jetty Heart Clinic of the Indiana Heart Hospital LLC

Organization Cardiovascular Disease Physician · NPI 1366690257

Jetty Heart Clinic of the Indiana Heart Hospital LLC provides Cardiovascular Disease Physician services in Anderson, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 Medical Arts Blvd Ste 217
Anderson, IN 46011-3439 Not confirmed with CMS for 17 years — call before visiting
Phone: (765) 298-4422
Fax: (765) 298-4926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 01040154A (IN)

Record details

NPI number1366690257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Malasto — Ceo · (317) 621-8050
NPI enumeratedSeptember 4, 2008
Last updated in NPPESOctober 21, 2008
Mailing address1210 Medical Arts Blvd, Suite 217, Anderson, IN 46011-3439

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