Victoria Electrocardiography

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

VICTORIA ELECTROCARDIOGRAPHY

Practice address

1908 N Laurent St
Suite 550
Victoria, TX 77901-5468

Phone

(361) 572-0333

Fax

(361) 572-0104

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

James Grumman, MD

Title

Director

Phone

(361) 572-0333

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Victoria EKG Doing business as

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1124114467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST",
            "address_2": "SUITE 550",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015468",
            "telephone_number": "361-572-0333",
            "fax_number": "361-572-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST",
            "address_2": "SUITE 550",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015468",
            "telephone_number": "361-572-0333",
            "fax_number": "361-572-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA ELECTROCARDIOGRAPHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "GRUMMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-572-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00L14S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CT1682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083647001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria EKG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria County
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• Cardiovascular Disease Physician in Victoria, TX
• Providers in Victoria, 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 Nov 20, 2014; 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.