Active NPI
Heart Center of North Texas, PA
Doing business as Heart Center of North Texas
- Cardiovascular Disease Physician
- Stephenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HEART CENTER OF NORTH TEXAS, PA
- Doing business as
- Heart Center of North Texas
- Practice address
- 351 E Tarleton St
Stephenville, TX 76401-3511 - Phone
- (817) 334-2800
- Fax
- (817) 820-0094
- NPI assigned
- May 22, 2007
- Last updated
- Jun 22, 2021
- Organization subpart
- Yes
- Parent organization
- HEART CENTER OF NORTH TEXAS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sydney Madden
- Title
- Administrator
- Phone
- (817) 334-2800
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
351 E Tarleton St
Stephenville, TX 76401-3511
Mailing address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5930155 | Other | TX | AETNA GROUP NUMBER |
| 00455K | Other | TX | BCBS GROUP NUMBER |
| 109377503 | Medicaid | TX |
Other names 1
- Heart Center of North Texas
National Provider Directory
National Provider Directory- Tax ID family
- Heart Center of North Texas
- Part of
- Heart Center of North Texas
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Heart Center of North Texas
- Cardiovascular Disease Physician
- Granbury, TX
- NPI 1467661595
-
dba Heart Center of North Texas
- Cardiovascular Disease Physician
- Granbury, TX
- NPI 1568226678
Locations
2301 NW Loop
Ste C
Stephenville, TX 76401
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.
-
- Acute Care Nurse Practitioner
- N Charleston, SC
- NPI 1639123268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1407065543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 12TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043915",
"telephone_number": "817-334-2800",
"fax_number": "817-820-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E TARLETON ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013511",
"telephone_number": "817-334-2800",
"fax_number": "817-820-0094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART CENTER OF NORTH TEXAS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEART CENTER OF NORTH TEXAS",
"enumeration_date": "2007-05-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "MADDEN",
"authorized_official_first_name": "SYDNEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-334-2800"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NUMBER",
"identifier": "5930155",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "00455K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109377503",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart Center of North Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.