Premier Cardiology Care PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER CARDIOLOGY CARE PLLC

Practice address

2301 S FM 51 Ste 400
Decatur, TX 76234-3864

Phone

(940) 626-2461

Fax

(940) 626-2462

NPI assigned

Oct 28, 2019

Last updated

Feb 4, 2020By 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

Henock G ZabherNPI 1003846221

Title

Ceo/Owner

Phone

(940) 626-2461

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBCJBD

Practitioners 2

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.

• Henock G Zabher, M.D.

  • Interventional Cardiology Physician
  • Decatur, TX
  • NPI 1003846221
  Medicare reassignment NPD Authorized official
• Phuong-Khanh Jessica Farley, M.D.

  • Interventional Cardiology Physician
  • Corsicana, TX
  • NPI 1386888444
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1033752571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S FM 51 STE 400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343864",
            "telephone_number": "940-626-2461",
            "fax_number": "940-626-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S FM 51 STE 400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343864",
            "telephone_number": "940-626-2461",
            "fax_number": "940-626-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ZABHER",
        "authorized_official_first_name": "HENOCK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "940-626-2461"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "H000MJ8301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida June Phoenix, L.P.C.
• Physician Assistant Services of Texas
• Jan Ellen Pittard, OT
• Jacklyn Michelle Platt
• Precision Molecular Diagnostic Laboratory
• Erin Price, DNP, APRN, AGPCNP, N
• Phillip Joseph Pritzker Sr., OTR
• Psymed Health
• Pulmonary Sleep and Critical Care Specialists of North Texas, PA
• Natasha Pylant, PTA, BS

• Clinic/Center in Decatur, TX
• Providers in Decatur, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.