The Heart Clinic, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

THE HEART CLINIC, P.C.

Practice address

3720 W Broadway St
Muskogee, OK 74401-2141

Phone

(918) 910-5301

Fax

(918) 910-5279

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Mazen Hamwy, MD

Title

Owner

Phone

(918) 348-9715

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19201/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Mazen Al-Hamwy, M.D.

  • Cardiovascular Disease Physician
  • Muskogee, OK
  • NPI 1316021165
  Medicare reassignment NPD
• Chandrasekhar Polepalle, MD

  • Gastroenterology Physician
  • Muskogee, OK
  • NPI 1376536219
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1215404108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E DECATUR ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740113575",
            "telephone_number": "918-348-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012141",
            "telephone_number": "918-910-5301",
            "fax_number": "918-910-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "HAMWY",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-348-9715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Teeter
• Cayton Tejada
• Toni L Terrell, LPN
• John Terry
• Tatum B Terry, OTA
• Tin Thein, M.D.
• Bindu Thomas
• Blake Thomas, DO
• Carolyn Elaine Thomas
• Gregory Earl Thomas, RD

• Cardiovascular Disease Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.