Organization Active NPI

Ali Jaffar MD PA

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1205866753
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ALI JAFFAR MD PA
Doing business as
Amarillo Cardiovascular Center
Practice address
3501 S Soncy Rd Ste 144
Amarillo, TX 79119-6406
Phone
(806) 352-7200
Fax
(806) 352-3411
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Ali Jaffar, M.D.
Title
President
Phone
(806) 352-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 144
Amarillo, TX 79119-6406

Mailing address

PO Box 51225
Amarillo, TX 79159-1225
Phone (806) 352-7200

Other identifiers 3

IdentifierTypeStateIssuer
0085AVOtherTXBCBS
178992701MedicaidTX
DC2124OtherTXRR PTAN

Other names 1

  • Amarillo Cardiovascular Center Doing business as

National Provider Directory

National Provider Directory

Locations

3501 S Soncy Rd
Ste 144
Amarillo, TX 79119
Phone (806) 352-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1205866753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51225",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591225",
            "telephone_number": "806-352-7200",
            "fax_number": "806-352-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 144",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-352-7200",
            "fax_number": "806-352-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI JAFFAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "JAFFAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-352-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085AV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178992701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "DC2124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amarillo Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.