NPIMap

Organization Active NPI

Willowbrook Cardiovascular Associates, P.a.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1194789974
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
207RC0000X Issued in TX
Legal business name
WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A.
Practice address
13300 Hargrave Rd
Ste 500
Houston, TX 77070-4373
Phone
(281) 890-4848
Fax
(281) 890-4885
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. John Charles Isaac, M.D,
Title
Chief Finacial Officer
Phone
(281) 890-4848

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 207RC0000X TX Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X 207RC0001X TX
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X 207RI0011X TX

Addresses

Primary practice location

13300 Hargrave Rd
Ste 500
Houston, TX 77070-4373

Mailing address

13300 Hargrave Rd
Ste 500
Houston, TX 77070-4373
Phone (281) 890-4848

Other identifiers 1

IdentifierTypeStateIssuer
151663501MedicaidTX

Other names 1

  • Willowbrook Cardiovascular Associates Other name

National Provider Directory

National Provider Directory

Locations

13300 Hargrave Rd
Ste 500
Houston, TX 77070
Phone (281) 737-1167

Practitioners & affiliated clinicians

Practitioners 2

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1194789974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD",
            "address_2": "STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704373",
            "telephone_number": "281-890-4848",
            "fax_number": "281-890-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD",
            "address_2": "STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704373",
            "telephone_number": "281-890-4848",
            "fax_number": "281-890-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINACIAL OFFICER",
        "authorized_official_telephone_number": "281-890-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "207RC0000X",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "207RC0001X",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "207RI0011X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151663501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Cardiovascular Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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