Angela M Smogur, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3801 N Lamar Blvd
Ste 300 Austin Heart
Austin, TX 78756-4080

Phone

(512) 206-3600

Fax

(512) 454-2581

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Angela M Wegmann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1346241494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AUSTIN HEART PLLC",
            "address_2": "PO BOX 402669",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842669",
            "telephone_number": "512-206-4300",
            "fax_number": "512-206-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "address_2": "STE 300 AUSTIN HEART",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-206-3600",
            "fax_number": "512-454-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOGUR",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "PA0011A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1959603-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WEGMANN",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Smithson
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• Thomas Smithyman, PH.D.
• Jasper Smits, PH.D.
• SMK Approved Care Group Inc
• Frances E Smolak, LCSW
• Erwin John Smolik Jr., M.D.
• Patrick Bennett Smollen, M.D.
• Victoria Smoller, DPT
• John Brannan Smoot, M.D.

• Medical Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.