CCA CATH LAB LLC (NPI# 1740613116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740613116 |
| Entity Type | Organization |
| Organization Name | CCA CATH LAB LLC |
| Practice Address |
6200 W I 40 Suite 200 Amarillo TX 79106-2512 |
| Practice Telephone | 8063549764 |
| Practice Fax Number | 8063542728 |
| Mailing Telephone | 8063549764 |
| Mailing Fax Number | 8063542728 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | DON THOMPSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8063549764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
6200 W I 40 SUITE 200 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720215296 | Jason Andrew Strefling | Internal Medicine | 6200 W I 40, Amarillo, TX 79106-2512 | 2009-06-11 |
| 1831717024 | Brittany Johnson | Nurse Practitioner | 6200 W I 40, Amarillo, TX 79106-2512 | 2020-07-14 |
| 1871074955 | Ayman Amin | Nurse Practitioner | 6200 W I 40, Amarillo, TX 79106-2512 | 2018-08-27 |
| 1629556790 | Catherine Dee Swint | Nurse Practitioner | 6200 W I 40, Amarillo, TX 79106-2512 | 2018-08-01 |
| 1386199008 | Speed Aviation Inc. | Ambulance | 6200 W I 40, Amarillo, TX 79106-2512 | 2016-08-23 |
| 1962860304 | Cca Asc, LLC | Clinic/Center | 6200 W I 40, Amarillo, TX 79106-2512 | 2016-01-31 |
| 1386056596 | Rustin Baker | Nurse Practitioner | 6200 W I 40, Amarillo, TX 79106-2512 | 2014-05-21 |
| 1457658379 | Thomas Wayne Crowell | Nurse Practitioner | 6200 W I 40, Amarillo, TX 79106-2512 | 2011-02-13 |
| 1306164033 | Kade Carthel | Internal Medicine | 6200 W I 40, Amarillo, TX 79106-2512 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1720215296 | Jason Andrew Strefling | Internal Medicine | 6200 W I 40, Amarillo, TX 79106-2512 | 2009-06-11 |
| 1760598577 | Acute & Chronic Pain Management Center Pa | Internal Medicine | 24 Care Cir, Amarillo, TX 79124-2118 | 2006-08-22 |
| 1861429243 | Ali Jaffar | Internal Medicine | 3501 S Soncy Rd Ste 144, Amarillo, TX 79119-6406 | 2006-06-28 |
| 1114954336 | William Glenn Friesen | Internal Medicine | 1215 Coulter Suite 302, Amarillo, TX 79106 | 2006-06-26 |
| 1467401026 | Nisar Mikail Huq | Internal Medicine | 1215 S Coulter St Ste 302, Amarillo, TX 79106-1768 | 2006-05-09 |
| 1548257900 | Pedro R Hernandez | Internal Medicine | 1901 Medi Park, Suite 138, Amarillo, TX 79106-2110 | 2005-09-30 |
| 1902802200 | Max E Warren Jr. | Internal Medicine | 1901 Port Lane, Amarillo Heart Group, Amarillo, TX 79106-2430 | 2005-06-22 |
| 1245234293 | Anthony J Agostini | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-06-08 |
| 1760649289 | Rajesh Nambiar | Internal Medicine | 1901 Port Ln, Amarillo, TX 79106-2430 | 2008-05-21 |
| 1447424007 | David Gregory Brabham | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2008-04-15 |
| Find all providers in AMARILLO | ||||
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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.