PREMIER CARDIOLOGY CARE PLLC (NPI# 1033752571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033752571 |
| Entity Type | Organization |
| Organization Name | PREMIER CARDIOLOGY CARE PLLC |
| Practice Address |
2301 S Fm 51 Ste 400 Decatur TX 76234-3864 |
| Practice Telephone | 9406262461 |
| Practice Fax Number | 9406262462 |
| Mailing Telephone | 9406262461 |
| Mailing Fax Number | 9406262462 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | HENOCK G ZABHER (CEO/OWNER) |
| Authorized Official Telephone | 9406262461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | H000MJ8301 | 01 |
| TX | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 South Fm 51 Ste 100, Roanoke, TX 762620000 | 3188208266 | 9406262462 |
| Street Address |
2301 S FM 51 STE 400 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003846221 | Henock G Zabher | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2006-07-04 |
| 1386888444 | Phuong-khanh Jessica Farley | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1992977615 | Children's Dental Care Center, PC | Clinic/Center | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2008-04-02 |
| 1023028016 | Spavinaw Clinics, Inc | Clinic/Center | 346 N. Main Street, Decatur, AR 72722-0735 | 2006-08-09 |
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1083180731 | Occupational Health Centers of Georgia, P.C. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1063988715 | American Currenct Care P.a. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1982129326 | Dogwood Healing Arts | Clinic/Center | 619 E College Ave Ste B, Decatur, GA 30030-5323 | 2017-08-07 |
| 1689072548 | Mcog Imaging Center | Clinic/Center | 1670 Scott Blvd, Decatur, GA 30033-5605 | 2014-12-09 |
| 1144637075 | Planned Parenthood of Illinois | Clinic/Center | 3021 N Oakland Ave, Decatur, IL 62526-1607 | 2014-07-11 |
| 1770993743 | Optiworld Medical & Vision Center, LLC | Clinic/Center | 2851 Candler Rd, Decatur, GA 30034-1416 | 2014-04-30 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on PREMIER CARDIOLOGY CARE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.