Pineywoods Heart, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

N3611 Issued in TX

Legal business name

PINEYWOODS HEART, PLLC

Doing business as

Pineywoods Heart

Practice address

4800 NE Stallings Dr
Suite 115
Nacogdoches, TX 75965-1249

Phone

(936) 205-9820

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hannah Deppisch, M.D.NPI 1730348103

Title

Manager

Phone

(936) 205-9820

Specialties & licenses 1

Addresses

Other names 1

• PINEYWOODS HEART Doing business as

Locations

Practitioners 1

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.

• Hannah Grubb Deppisch, M.D.

  • Cardiovascular Disease Physician
  • Nacogdoches, TX
  • NPI 1730348103
  Authorized official Same address or phone

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1033587456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "SUITE 115",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-205-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "SUITE 115",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-205-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEYWOODS HEART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "DEPPISCH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-205-9820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N3611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEYWOODS HEART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Pineda, LOTA
• Piney Woods ER IV
• Piney Woods Orthopedics
• Pineywoods Eye Associates P a
• Pineywoods Eye Associates P a
• Pinnacle Health Facilities XV LP (Lexington Place Nursing & Rehabilitation)
• Pioneer Heart Care, P.a.
• Pittany Group LLC
• Vijaya R Pokala, M.D., F.A.C.C.
• Aaron C Polk Jr., MD

• Cardiovascular Disease Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.