Organization Active NPI

Star State Heart, PLLC

  • Interventional Cardiology Physician
  • Lakeway, TX
National Provider Identifier
1184947368
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G6655 Issued in TX
Legal business name
STAR STATE HEART, PLLC
Practice address
1008 Ranch Road 620 S
Suite 201
Lakeway, TX 78734-5631
Phone
(512) 334-7855
Fax
(512) 445-6095
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Samuel James Demaio Jr., M.D.
Title
Sole MBR
Phone
(512) 709-8229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G6655 TX
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X G6655 TX Primary

Addresses

Primary practice location

1008 Ranch Road 620 S
Suite 201
Lakeway, TX 78734-5631

Mailing address

PO Box 41239
Austin, TX 78704-0021
Phone (512) 334-7876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1184947368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41239",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040021",
            "telephone_number": "512-334-7876",
            "fax_number": "512-445-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 RANCH ROAD 620 S",
            "address_2": "SUITE 201",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345631",
            "telephone_number": "512-334-7855",
            "fax_number": "512-445-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR STATE HEART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DEMAIO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "512-709-8229",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G6655",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.