Organization Active NPI

Cardiology and Interventional Vascular Associates

  • Specialist
  • Greenville, TX
National Provider Identifier
1154501161
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4886 Issued in TX
Legal business name
CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES
Practice address
4211 Joe Ramsey Blvd E
Suite 101
Greenville, TX 75401-7852
Phone
(903) 408-7920
Fax
(903) 408-7919
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Charles B Levin, M.D.
Title
President/Physician Partner
Phone
(214) 369-3613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X E4886 TX Primary

Addresses

Primary practice location

4211 Joe Ramsey Blvd E
Suite 101
Greenville, TX 75401-7852

Mailing address

7150 Greenville Ave
Suite 650
Dallas, TX 75231-7900
Phone (214) 369-3613

National Provider Directory

National Provider Directory

Locations

7150 Greenville Ave
Ste 650
Dallas, TX 75231
Phone (469) 916-7842

4211 Joe Ramsey Blvd E
Ste 101
Greenville, TX 75401
Phone (903) 408-7908

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1154501161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE",
            "address_2": "SUITE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317900",
            "telephone_number": "214-369-3613",
            "fax_number": "214-369-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E",
            "address_2": "SUITE 101",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-7920",
            "fax_number": "903-408-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "214-369-3613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.