NPIMap

Organization Active NPI

Christus Trinity Clinic - Cardiology

  • Clinic/Center
  • Tyler, TX
National Provider Identifier
1356892277
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP132260 Issued in TX
Legal business name
CHRISTUS TRINITY CLINIC - CARDIOLOGY
Practice address
703 S Fleishel Ave
Suite 4000
Tyler, TX 75701-2015
Phone
(903) 606-7000
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Fagg Sanford, MD
Title
Chief of Cardiology
Phone
(903) 606-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP132260 TX Primary

Addresses

Primary practice location

703 S Fleishel Ave
Suite 4000
Tyler, TX 75701-2015

Mailing address

703 S Fleishel Ave
Suite 4000
Tyler, TX 75701-2015
Phone (903) 606-7000

National Provider Directory

National Provider Directory
Tax ID family
Charles E Jones MD16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1356892277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S FLEISHEL AVE",
            "address_2": "SUITE 4000",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012015",
            "telephone_number": "903-606-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S FLEISHEL AVE",
            "address_2": "SUITE 4000",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012015",
            "telephone_number": "903-606-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS TRINITY CLINIC - CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "FAGG",
        "authorized_official_title_or_position": "CHIEF OF CARDIOLOGY",
        "authorized_official_telephone_number": "903-606-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AP132260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.