NPIMap

Organization Active NPI

Houston Cardiac Association, PA

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1023221876
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H9549 Issued in TX
Legal business name
HOUSTON CARDIAC ASSOCIATION, PA
Practice address
10480 Main St
Houston, TX 77025-5500
Phone
(713) 599-1144
Fax
(713) 599-1199
NPI assigned
May 8, 2007
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Baxter Delworth Montgomery, M.D.
Title
Physician/Executive Director
Phone
(713) 599-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H9549 TX Primary

Addresses

Primary practice location

10480 Main St
Houston, TX 77025-5500

Mailing address

10480 Main St
Houston, TX 77025-5500
Phone (713) 599-1144

Other identifiers 5

IdentifierTypeStateIssuer
10018324OtherTXAMERIGROUP
081027701MedicaidTX
85680FOtherTXBCBS OF TEXAS
132190301MedicaidTX
5034595OtherTXAETNA

National Provider Directory

National Provider Directory

Locations

2499 Ella Blvd
Houston, TX 77008
Phone (713) 880-4111

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1023221876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255500",
            "telephone_number": "713-599-1144",
            "fax_number": "713-599-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255500",
            "telephone_number": "713-599-1144",
            "fax_number": "713-599-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON CARDIAC ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BAXTER",
        "authorized_official_middle_name": "DELWORTH",
        "authorized_official_title_or_position": "PHYSICIAN/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-599-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H9549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10018324",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081027701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "85680F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5034595",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.