Organization Active NPI

Abilene Cardiovascular Surgery, P.a.

  • Specialist
  • Abilene, TX
National Provider Identifier
1215057310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ABILENE CARDIOVASCULAR SURGERY, P.A.
Practice address
1680 Antilley Rd Ste 260
Abilene, TX 79606-5247
Phone
(325) 691-5590
Fax
(325) 691-1231
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Harrison Crocker, M.D.NPI 1073505889
Title
President
Phone
(325) 691-5590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1680 Antilley Rd Ste 260
Abilene, TX 79606-5247

Mailing address

1680 Antilley Rd Ste 260
Abilene, TX 79606-5247
Phone (325) 691-5590

National Provider Directory

National Provider Directory

Locations

1150 N 18th St
Ste 401
Abilene, TX 79601
Phone (325) 670-4560

1680 Antilley Rd
Ste 260
Abilene, TX 79606
Phone (325) 691-5590

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215057310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD STE 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065247",
            "telephone_number": "325-691-5590",
            "fax_number": "325-691-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD STE 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065247",
            "telephone_number": "325-691-5590",
            "fax_number": "325-691-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE CARDIOVASCULAR SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-691-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.