NPIMap

Organization Active NPI

Legacy Heart Center

  • Cardiovascular Disease Physician
  • Plano, TX
National Provider Identifier
1366491326
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F3244 Issued in TX
Legal business name
LEGACY HEART CENTER
Practice address
6601 Preston Rd
Plano, TX 75024-2502
Phone
(469) 326-3400
Fax
(469) 326-3499
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Marc S Shalek, MDNPI 1336136878
Title
Managing Partner
Phone
(469) 326-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X F3244 TX Primary

Addresses

Primary practice location

6601 Preston Rd
Plano, TX 75024-2502

Mailing address

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

Other identifiers 1

IdentifierTypeStateIssuer
083199201MedicaidTX

Other names 1

  • Texas Regional Heart Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0929697Baylor Scott & White Legacy Heart Center6601 Preston Road, Plano, TX 75024Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Locations

1640 Coit Rd
Plano, TX 75075
Phone (972) 964-7702

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1366491326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242502",
            "telephone_number": "469-326-3400",
            "fax_number": "469-326-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242502",
            "telephone_number": "469-326-3400",
            "fax_number": "469-326-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SHALEK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "469-326-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F3244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083199201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Regional Heart Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.