NPIMap

Organization Active NPI

Central Cardiovascular Institute of San Antonio

  • Specialist
  • San Antonio, TX
National Provider Identifier
1184618050
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL CARDIOVASCULAR INSTITUTE OF SAN ANTONIO
Practice address
927 McCullough
San Antonio, TX 78215-1630
Phone
(210) 867-3203
Fax
(210) 223-3888
NPI assigned
Sep 7, 2005
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
William C L Wu, MDNPI 1346246626
Title
President, Ceo
Phone
(210) 867-3202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

927 McCullough
San Antonio, TX 78215-1630

Mailing address

927 McCullough Ave
San Antonio, TX 78215-1630
Phone (210) 223-6896

Other identifiers 2

IdentifierTypeStateIssuer
084973902MedicaidTX
0018CKOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 270
San Antonio, TX 78212
Phone (210) 226-4800

24165 W Interstate 10
Ste 102
San Antonio, TX 78257
Phone (210) 846-5350

519 E Quincy St
Ste A
San Antonio, TX 78215
Phone (210) 226-4800

525 Oak Centre Dr
Ste 220
San Antonio, TX 78258
Phone (210) 490-0400

6800 W Interstate 10
Ste 110
San Antonio, TX 78201
Phone (210) 614-6391

94 Briggs St
Ste 600
San Antonio, TX 78224
Phone (210) 872-3668

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1184618050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151630",
            "telephone_number": "210-223-6896",
            "fax_number": "210-223-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MCCULLOUGH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151630",
            "telephone_number": "210-867-3203",
            "fax_number": "210-223-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CARDIOVASCULAR INSTITUTE OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C L",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "210-867-3202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084973902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018CK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.