Organization Active NPI

Cardiology Consultants of East Texas PA

  • Cardiovascular Disease Physician
  • Mount Pleasant, TX
National Provider Identifier
1316155807
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M2087 Issued in TX
Legal business name
CARDIOLOGY CONSULTANTS OF EAST TEXAS PA
Practice address
2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312
Phone
(903) 577-7070
Fax
(903) 577-7072
NPI assigned
May 18, 2007
Last updated
Dec 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Milan Sekulic, M.D.NPI 1265464564
Title
President
Phone
(903) 577-7070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X M2087 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA04780 TX

Addresses

Primary practice location

2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312

Mailing address

2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312
Phone (903) 577-7070

National Provider Directory

National Provider Directory

Locations

2001 N Jefferson Ave
Ste 212
Mt Pleasant, TX 75455
Phone (903) 572-7889

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1316155807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE",
            "address_2": "SUITE 310",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552312",
            "telephone_number": "903-577-7070",
            "fax_number": "903-577-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE",
            "address_2": "SUITE 310",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552312",
            "telephone_number": "903-577-7070",
            "fax_number": "903-577-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF EAST TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "SEKULIC",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-577-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2087",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.