CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A. (NPI# 1669705380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669705380 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A. |
| Practice Address |
12221 N. Mopac Expressway Austin TX 78758-2483 |
| Mailing Address |
5301 Riata Park Court Bldg. D, Suite 200 Austin TX 78727-3438 |
| Practice Telephone | 5126176000 |
| Practice Fax Number | 5124941990 |
| Mailing Telephone | 5126176000 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | MARK N CHUTICH (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 5126156224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366775942 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 4316 James Casey, Building C, Austin, TX 78745-1157 | 2009-09-14 |
| 1003149683 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 204 County Rd. 340a, Bldg. 2, Ste. 1, Burnet, TX 78611-4537 | 2009-09-14 |
| 1649503236 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2555 Western Trls. Blvd., Ste. 102, Austin, TX 78745-1574 | 2009-09-14 |
| 1336377019 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 7125 Sanger, Waco, TX 76712 | 2009-07-01 |
| 1346478013 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 605 E. 4th St., Suite 200, Odessa, TX 79761-5100 | 2009-07-01 |
| 1467680132 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 10710 Mcpherson, Suite 105, Laredo, TX 78045-6271 | 2009-07-01 |
| 1073741740 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 102 N, Magdalene, San Angelo, TX 76903-5400 | 2009-07-01 |
| 1003044777 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 702 E. Calton Rd., Suite A, Laredo, TX 78041-3988 | 2009-07-01 |
| 1144458829 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 6901 Medical Pkwy., 1st Floor, Waco, TX 76712-7910 | 2009-07-01 |
| 1942438619 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2207 S. Clear Creek Road, Suite 205, Killeen, TX 76549-4132 | 2009-07-01 |
| Street Address |
12221 N. MOPAC EXPRESSWAY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858119 | Kimberly Snyder | Emergency Medicine | 12221 N. Mopac Expressway, Austin, TX 78758 | 2006-06-12 |
| 1558467407 | Cynthia Inge Wasser | Optometrist | 12221 N. Mopac Expressway, Austin, TX 78758 | 2006-09-16 |
| 1942216296 | Nancy Lee | Physician Assistant | 12221 N. Mopac Expressway, Austin, TX 78758-2483 | 2006-07-31 |
| 1356383467 | Mark C. Burr | Emergency Medicine | 12221 N. Mopac Expressway, Austin, TX 78758 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1114974011 | Nima Amjadi | Internal Medicine | 4316 James Casey St, Bldg. A, Austin, TX 78745-1157 | 2006-05-27 |
| 1386629012 | Michael Scott Grad | Internal Medicine | 2200 Park Bend Dr, Bldg 1, Suite 401, Austin, TX 78758-5387 | 2005-12-15 |
| 1417932120 | David W. Terreson | Internal Medicine | 1301 W 38th St, Suite 705, Austin, TX 78705-1016 | 2005-12-14 |
| 1780669499 | Thomas Nicholas Tracey | Internal Medicine | 4316 James Casey St, Building C, Austin, TX 78745-1157 | 2005-12-14 |
| 1134104847 | Paul Anthony Tucker II | Internal Medicine | 4316 James Casey St, Building C, Austin, TX 78745-1157 | 2005-12-14 |
| 1154306306 | Gerald Villareal Levy | Internal Medicine | 4316 James Casey St, Building C, Austin, TX 78745-1157 | 2005-12-09 |
| 1851376008 | Francisco Javier Otero | Internal Medicine | 1015 E 32nd St, Suite 508, Austin, TX 78705-2708 | 2005-12-09 |
| 1548245798 | Erol Huseyin Ozdil | Internal Medicine | 4316 James Casey St, Building A, Austin, TX 78745-1157 | 2005-12-09 |
| Find all providers in AUSTIN | ||||
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| 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.