ST DAVIDS HEART & VASCULAR, PLLC (NPI# 1700887700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700887700 |
| Entity Type | Organization |
| Organization Name | ST DAVIDS HEART & VASCULAR, PLLC |
| Other Organization Name | AUSTIN HEART, PLLC |
| Practice Address |
3801 N Lamar Blvd Ste 300 Austin TX 78756-4080 |
| Mailing Address |
7800 Shoal Creek Blvd Suite 205n Austin TX 78757 |
| Practice Telephone | 5122063600 |
| Practice Fax Number | 5124542581 |
| Mailing Telephone | 5122064341 |
| Mailing Fax Number | 5124071947 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | STEVE GORNIK (CEO) |
| Authorized Official Telephone | 5122064367 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUSTIN HEART PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0937849-03 | 05 | |
| TX | 0949521-02 | 05 |
| Other Name | Type Code |
|---|---|
| Austin Heart, PLLC | Former Legal Business Name - Organization |
| Street Address |
3801 N LAMAR BLVD STE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169644 | Mark F. Picone | Internal Medicine | 3801 N Lamar Blvd, Ste. 300, Austin, TX 78756-4080 | 2005-07-29 |
| 1609487099 | Katherine Otecca Wills | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2020-08-11 |
| 1972135887 | Arlonzo E. Childress Jr. | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2020-02-08 |
| 1942661640 | Magan Gonzalez | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2016-03-09 |
| 1548631153 | Kara Deshon | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2015-10-08 |
| 1114268158 | Nicole L Atack | Nurse Anesthetist, Certified Registered | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2013-03-14 |
| 1154619344 | Rebecca Elizabeth Brown | Nurse Practitioner | 3801 N Lamar Blvd, Ste. 300, Austin, TX 78756-4080 | 2011-07-21 |
| 1386939452 | James F Leitera | Nurse Practitioner | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756 | 2011-06-16 |
| 1952618704 | Laura C Calais | Clinical Nurse Specialist | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756-4080 | 2010-08-31 |
| 1528389558 | Cristina Marie Hodgkiss | Nurse Practitioner | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756-4080 | 2010-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1356869804 | Legacy Heart Care of Midtown Austin, LLC | Internal Medicine | 901 W 38th St Ste 403, Austin, TX 78705-1162 | 2017-09-05 |
| 1346768892 | Legacy Heart Care of South Austin, LLC | Internal Medicine | 1807 W Slaughter Ln Ste 485, Austin, TX 78748-6204 | 2017-09-05 |
| 1982964037 | Michael Rotman | Internal Medicine | 311 Addie Roy Rd, Austin, TX 78746-4125 | 2012-05-23 |
| 1811254857 | Itamar Birnbaum | Internal Medicine | 1015 E 32nd St Ste 508, Austin, TX 78705 | 2012-04-16 |
| 1366775942 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 4316 James Casey, Building C, Austin, TX 78745-1157 | 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 |
| 1760610620 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 5656 Bee Caves Road, Bldg. M, Ste. 300, Austin, TX 78746-5280 | 2009-06-30 |
| 1033347992 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 11111 Research Blvd., Suite 360, Austin, TX 78759-5264 | 2009-06-30 |
| 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.