NPIMap

Organization Active NPI

St. David's Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
National Provider Identifier
1023330271
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST. DAVID'S CARDIOLOGY, PLLC
Practice address
1015 E 32ND St
Suite 508
Austin, TX 78705-2707
Phone
(512) 441-1633
Fax
(512) 480-3153
NPI assigned
Feb 15, 2010
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. John C. Rebok
Title
Vice President
Phone
(512) 708-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1015 E 32ND St
Suite 508
Austin, TX 78705-2707

Mailing address

1015 E 32ND St
Suite 508
Austin, TX 78705-2707
Phone (512) 441-1633

Other identifiers 1

IdentifierTypeStateIssuer
0079TEOtherTXBCBS PROVIDER RECORD

National Provider Directory

National Provider Directory

Locations

3000 N Interstate 35
Ste 700
Austin, TX 78705
Phone (512) 544-2342

4316 James Casey St
Ste C
Austin, TX 78745
Phone (512) 381-0170

613 Elizabeth St
Ste 402
Corpus Christi, TX 78404
Phone (361) 887-2739

7215 Wyoming Springs Dr
Round Rock, TX 78681

Practitioners & affiliated clinicians

Practitioners 11

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": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1023330271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE 508",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-441-1633",
            "fax_number": "512-480-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE 508",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-441-1633",
            "fax_number": "512-480-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. DAVID'S CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "REBOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-708-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER RECORD",
            "identifier": "0079TE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.