Organization Active NPI

Ep-Cardiology PA

  • Clinical Cardiac Electrophysiology Physician
  • Conroe, TX
National Provider Identifier
1144403650
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
EP-CARDIOLOGY PA
Practice address
500 Medical Center Blvd
Suite 310
Conroe, TX 77304-2889
Phone
(936) 441-3232
Fax
(936) 756-3235
NPI assigned
Dec 7, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EP/CARDIOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Ms. Jo Ann Nevitt
Title
Practice Manager
Phone
(713) 799-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

500 Medical Center Blvd
Suite 310
Conroe, TX 77304-2889

Mailing address

6550 Fannin St
Suite 1723
Houston, TX 77030-2717
Phone (713) 799-1610

Other identifiers 2

IdentifierTypeStateIssuer
CH7910OtherMEDICARE RR
00438ROtherTXBLUE SHIELD

National Provider Directory

National Provider Directory
Part of
Epcardiology PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1144403650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-799-1610",
            "fax_number": "713-799-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "936-441-3232",
            "fax_number": "936-756-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP-CARDIOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EP/CARDIOLOGY PA",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "NEVITT",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-799-1610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CH7910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00438R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.