Physicians Cardiovascular Diagnostic Center, L.L.P.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R25618 Issued in TX

Legal business name

PHYSICIANS CARDIOVASCULAR DIAGNOSTIC CENTER, L.L.P.

Doing business as

Cardiovascular Diagnostic Center

Practice address

2955 Harrison St
Ste 300
Beaumont, TX 77702-1157

Phone

(409) 924-3996

Fax

(409) 924-3916

NPI assigned

May 31, 2005

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Randolph Lombardo, M.D.

Title

Managing Partner

Phone

(409) 924-3996

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CARDIOVASCULAR DIAGNOSTIC CENTER Doing business as

Locations

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.

• Alfred B. Brady Jr., M.D.

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1841293909
  NPD (past)
• Timothy Kelly Colgan, M.D.

  • Interventional Cardiology Physician
  • Beaumont, TX
  • NPI 1730186610
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1245233501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021157",
            "telephone_number": "409-924-3996",
            "fax_number": "409-924-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021157",
            "telephone_number": "409-924-3996",
            "fax_number": "409-924-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARDIOVASCULAR DIAGNOSTIC CENTER, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "409-924-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R25618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD PROV",
            "identifier": "HH1821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDE",
            "identifier": "470001866",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155417201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fredericka Phillips, RN
• Lynda Faye Phillips, RN
• Jerry Lynn Philmon, R.PH.
• Phuc Nhat Le MD PA
• Phuc Nhat Le MD PA
• Jennifer Pierce, SLP
• J. Coffy Pieternelle, MD
• Mark A Pigno, D.D.S.
• Brittany Nicole Pina, CPHT
• Linda Gayle Pinder, LAN

• Radiology Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.