Heart & Vascular Clinic of San Antonio, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

H 8897 Issued in TX

Legal business name

HEART & VASCULAR CLINIC OF SAN ANTONIO, PLLC

Practice address

927 McCullough Ave
San Antonio, TX 78215-1630

Phone

(210) 223-6896

Fax

(210) 223-3888

NPI assigned

Nov 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William C.L. Wu, M.D.NPI 1346246626

Title

President/Physician

Phone

(210) 223-6896

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William C L Wu, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1346246626
  Medicare reassignment NPD Authorized official
• Mirhassan Farivar-Mohseni, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1225037799
  Medicare reassignment NPD
• Herman Everette Spivey, MSN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1063773448
  NPD (past)

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1063799567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151630",
            "telephone_number": "210-223-6896",
            "fax_number": "210-223-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151630",
            "telephone_number": "210-223-6896",
            "fax_number": "210-223-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & VASCULAR CLINIC OF SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.L.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "210-223-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H 8897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12 A 253507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Leal Hearn, NP-C
• William John Hearn IV, DPM
• Linda S Hearne, MD
• Steven E Hearne, M.D.
• Melissa Leann Hearrell, APRN FNP-C
• Heart & Vascular Institute of Texas
• Heart 2 Heart Harmony PLLC
• Heart and Rhythm Institute of South Texas, PA
• Heart Cath
• Heart Center of Central San Antonio

• Cardiovascular Disease Physician in San Antonio, TX
• Providers in San Antonio, 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 Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.