Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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 is a Cardiovascular Disease Physician 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
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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