San Angelo Cardiovascular Center of Excellence, PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE, PLLC

Practice address

3180 Executive Dr Ste 102
San Angelo, TX 76904-6837

Phone

(325) 944-1240

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Miltiadis Leon, MDNPI 1558328690

Title

Authorized Official, President

Phone

(325) 651-6566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Miltiadis Leon, MD

  • Interventional Cardiology Physician
  • San Angelo, TX
  • NPI 1558328690
  Medicare reassignment NPD Authorized official
• Lucas Manuel Ferrer Cardona, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
  • NPI 1790912244
  Medicare reassignment NPD
• Dimitrios Miserlis, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
  • NPI 1720375348
  Medicare reassignment NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1134788508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR STE 102",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-944-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR STE 102",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-944-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MILTIADIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, PRESIDENT",
        "authorized_official_telephone_number": "325-651-6566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Samuel J. Kasberg, M.D., P.a.
• San Angelo AIDS Foundation
• San Angelo Ambulatory Surgery Center
• San Angelo Autism Center, PLLC
• San Angelo Emergency Medicine Associates PA
• San Angelo Emergency Physicians
• San Angelo Endodontics, PC
• San Angelo ER LLC
• San Angelo Health Care, LLC

• Interventional Cardiology Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.