Active NPI
Healthtexas Provider Network
- Cardiovascular Disease Physician
- Idabel, OK
National Provider Identifier
1316728702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HEALTHTEXAS PROVIDER NETWORK
- Practice address
- 4 SE Ave a
Idabel, OK 74745-4620 - Phone
- (580) 208-2700
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle J Telford
- Title
- Managed Care Consultant
- Phone
- (214) 865-2774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
4 SE Ave a
Idabel, OK 74745-4620
Mailing address
301 N Washington Ave
Dallas, TX 75246-1754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6J9280 | Other | OK | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- BSW Advanced Heart Failure
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Dallas, TX
- NPI 1700833902
Cardiovascular Disease, OK
-
- Clinical Cardiac Electrophysiology Physician
- Towson, MD
- NPI 1215089214
Cardiovascular Disease, OK
-
- Interventional Cardiology Physician
- Ogden, UT
- NPI 1750335907
Cardiovascular Disease, OK
-
- Interventional Cardiology Physician
- Dallas, TX
- NPI 1457397598
Cardiovascular Disease, OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1316728702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SE AVE A",
"city": "IDABEL",
"state": "OK",
"postal_code": "747454620",
"telephone_number": "580-208-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHTEXAS PROVIDER NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-11",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "TELFORD",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGED CARE CONSULTANT",
"authorized_official_telephone_number": "214-865-2774"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "6J9280",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.