Epic Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

EPIC CARDIOLOGY PLLC

Practice address

1 Medical Center Blvd
Lufkin, TX 75904-3173

Phone

(936) 631-5600

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Subramanya Vara Prasad Gajaraju Venkata, MD

Title

MD/Owner

Phone

(936) 631-5600

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1407459175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-631-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-631-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "GAJARAJU VENKATA",
        "authorized_official_first_name": "SUBRAMANYA",
        "authorized_official_middle_name": "VARA PRASAD",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "936-631-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gunter Ellis, PT
• Ivy Rose Embellado, PTA
• Emergency Physician Care of Garland, PLLC
• David Kent Emmerling, RPH
• Annysue Crystalin Emmons, DNP, FNP-C
• Epic Internal Medicine PLLC
• Sidney R. Epperson, PH.D.
• ER of Lufkin LLC
• ER of Lufkin Physicians PLLC
• Ashley Espinoza

• Cardiovascular Disease Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.