VICTORIA ELECTROCARDIOGRAPHY (NPI# 1124114467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124114467 |
Entity Type | Organization |
Organization Name | VICTORIA ELECTROCARDIOGRAPHY |
Other Organization Name | VICTORIA EKG |
Practice Address |
1908 N Laurent St Suite 550 Victoria TX 77901-5468 |
Practice Telephone | 3615720333 |
Practice Fax Number | 3615720104 |
Mailing Telephone | 3615720333 |
Mailing Fax Number | 3615720104 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-11-20 |
Authorized Official Name | JAMES GRUMMAN (DIRECTOR) |
Authorized Official Telephone | 3615720333 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS | 00L14S | 01 |
RAILROAD | CT1682 | 01 | |
TX | 083647001 | 05 |
Other Name | Type Code |
---|---|
Victoria EKG | Doing Business As Name - Organization |
Street Address |
1908 N LAURENT ST SUITE 550 |
City | VICTORIA |
State | TX |
Zip Code | 77901-5468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629047006 | Manju Sachdev | Pediatrics | 1908 N Laurent St, #100, Victoria, TX 77901-5457 | 2006-03-16 |
1841726569 | Elma Saenz | Counselor | 1908 N Laurent St, Suite 120, Victoria, TX 77901-5468 | 2017-05-02 |
1366804742 | Mark Ryan Kelly | Counselor | 1908 N Laurent St, Suite 120, Victoria, TX 77901-5468 | 2016-03-24 |
1477669000 | Donna Dellaria | Counselor | 1908 N Laurent St, Suite 320, Victoria, TX 77901-5457 | 2006-08-23 |
1699791137 | James Grumman | Internal Medicine | 1908 N Laurent St, Suite 550, Victoria, TX 77901-5468 | 2006-07-15 |
1407896863 | San Antonio Vamc | Clinic/Center | 1908 N Laurent St, Suite 150, Victoria, TX 77901-5417 | 2006-06-07 |
1912951120 | William Edward Celentano | Family Medicine | 1908 N Laurent St, Victoria, TX 77901-5468 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
Find all providers in zip 77901 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154332724 | Dakshesh-kumar Ramdas Parikh | Internal Medicine | 2104 Patterson Dr, Victoria, TX 77901 | 2006-08-10 |
1104837772 | Ajay Gaalla | Internal Medicine | 2104 Patterson Drive, Victoria, TX 77901 | 2006-08-10 |
1407354699 | Nirp Victoria Pllc | Internal Medicine | 1908 N Laurent St Ste 120, Victoria, TX 77901-5475 | 2018-01-23 |
1508139791 | Victoria Heart & Vascular Center, P.a. | Internal Medicine | 2104 Patterson Dr, Victoria, TX 77901-5639 | 2012-02-17 |
1790964526 | Dakshesh-kumar Parikh P A | Internal Medicine | 2104 Patterson Dr, Victoria, TX 77901-5639 | 2007-10-29 |
1073792826 | Ajay Gaalla, P A | Internal Medicine | 2104 Patterson Dr, Victoria, TX 77901-5639 | 2007-10-29 |
1558565119 | Citizens Medical Center County of Victoria | Internal Medicine | 2700 Citizens Plz, Suite 300, Victoria, TX 77901-5754 | 2007-06-14 |
1013928688 | Harish Chandna | Internal Medicine | 2104 Patterson Drive, Victoria, TX 77901 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on VICTORIA ELECTROCARDIOGRAPHY.
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.