CARDIOCENTRIC (NPI# 1295354611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295354611 |
| Entity Type | Organization |
| Organization Name | CARDIOCENTRIC |
| Practice Address |
1401 Seminole Dr Richardson TX 75080-3738 |
| Practice Telephone | 9727577928 |
| Mailing Telephone | 9727577928 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | SHAWN SOMMERLAD (MANAGING MEMBER) |
| Authorized Official Telephone | 9727577928 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cardiocentric, LLC | 14 Inverness Drive East, Suite H-136, Englewood, CO 80112 |
| Street Address |
1401 SEMINOLE DR |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619598364 | Kevin Mainz | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| 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 |
|---|---|---|---|---|
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1467873463 | Chris Gallagher Md & Associates, Pllc | Internal Medicine | 1125 Greenway Dr, Richardson, TX 75080-6936 | 2013-12-18 |
| 1063523223 | Neil Nghi Phung | Internal Medicine | 275 W Campbell Rd Ste 120, Richardson, TX 75080-3601 | 2006-08-31 |
| 1124082128 | Nhan P Nguyen | Internal Medicine | 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082-3551 | 2006-04-14 |
| 1619598364 | Kevin Mainz | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-05-05 |
| 1811338361 | Mohamad Kabach | Internal Medicine | 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082-3551 | 2013-07-12 |
| 1700017837 | Havant, Pllc | Internal Medicine | 2821 E President George Bush Hwy, Suite 306, Richardson, TX 75082-4266 | 2009-08-06 |
| 1386805331 | Joshua Burak | Internal Medicine | 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082-3551 | 2008-06-23 |
| 1063518561 | Texas Cardiology Associates | Internal Medicine | 275 W Campbell Rd Ste 120, Richardson, TX 75080-8017 | 2006-09-15 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on CARDIOCENTRIC.
| 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.