Clear Lake Cardiovascular Care PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K9962 Issued in TX

Legal business name

CLEAR LAKE CARDIOVASCULAR CARE PA

Practice address

450 Medical Center Blvd
Suite 308
Webster, TX 77598-4234

Phone

(281) 332-1515

Fax

(281) 332-2525

NPI assigned

Jul 2, 2006

Last updated

Jan 7, 2010By 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

Ahmed S Ahmed, MDNPI 1457339640

Title

President

Phone

(281) 332-1515

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Ahmed S Ahmed, M.D.

  • Cardiovascular Disease Physician
  • Webster, TX
  • NPI 1457339640
  Authorized official Same address or phone

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1114956869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58535",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988535",
            "telephone_number": "281-332-1515",
            "fax_number": "281-332-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD",
            "address_2": "SUITE 308",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-332-1515",
            "fax_number": "281-332-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE CARDIOVASCULAR CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-332-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K9962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114956869",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184676801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad C Clause, DPM
• Clear Lake Anesthesia Services
• Clear Lake Brain and Spine
• Clear Lake Cardiology Associates
• Clear Lake Cardiology PLLC
• Clear Lake Children's Center
• Clear Lake Dermatology, PLLC (Clear Lake Dermatology)
• Clear Lake Eye Center
• Clear Lake Eye Center PLLC
• Clear Lake Foot & Ankle Specialist PA

• Cardiovascular Disease Physician in Webster, TX
• Providers in Webster, 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 Jan 7, 2010; 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.