Organization Active NPI

Gulf Coast Cardiology GRP PLLC

  • Cardiovascular Disease Physician
  • Port Arthur, TX
National Provider Identifier
1275539157
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M6898 Issued in TX
Legal business name
GULF COAST CARDIOLOGY GRP PLLC
Practice address
3921 N Twin City Hwy
Port Arthur, TX 77642-2118
Phone
(409) 963-0000
Fax
(409) 963-1899
NPI assigned
Jun 24, 2005
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Pradip J Morbia, M.D.NPI 1396740239
Title
M.D.
Phone
(409) 963-0000

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
Cardiovascular Disease Physician 207RC0000X M6898 TX Primary

Addresses

Primary practice location

3921 N Twin City Hwy
Port Arthur, TX 77642-2118

Mailing address

3921 N Twin City Hwy
Port Arthur, TX 77642-2118
Phone (409) 963-0000

Other identifiers 1

IdentifierTypeStateIssuer
131523605MedicaidTX

National Provider Directory

National Provider Directory

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": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1275539157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CARDIOLOGY GRP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MORBIA",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "409-963-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M6898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131523605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.