Careconnect Medical Group P.L.L.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARECONNECT MEDICAL GROUP P.L.L.C

Practice address

1600 Lake Shore Dr Apt 121
Waco, TX 76708-3702

Phone

(254) 498-6671

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Naila Gill

Title

Medical and Health Services Manager

Phone

(254) 498-6671

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1033450044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKE SHORE DR APT 121",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKE SHORE DR APT 121",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083702",
            "telephone_number": "254-498-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECT MEDICAL GROUP P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "NAILA",
        "authorized_official_title_or_position": "MEDICAL AND HEALTH SERVICES MANAGER",
        "authorized_official_telephone_number": "254-498-6671"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345678",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiopulmonary Therapeutics and Diagnostics Inc (Med Equip)
• Cardiovascular Specialists of Texas, P.a
• Cardiovascular Specialists of Texas, P.a.
• Cardiovascular Specialists of Texas, P.a.
• Estreberto Cardoso
• Ashley Cargile, LPC
• Jenny Snow Carl, MD
• Leighton Henry Carl, MD
• Shannon W Carl, LPC
• Nichole Carnes

• Family Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.