Organization Active NPI

BT Heart and Vascular Center, PLLC

  • Cardiovascular Disease Physician
  • Stuart, VA
National Provider Identifier
1407830672
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BT HEART AND VASCULAR CENTER, PLLC
Practice address
110 East Blue Ridge St.
Stuart, VA 24171-1560
Phone
(276) 692-2540
Fax
(276) 694-4206
NPI assigned
Dec 1, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Behzad Taghizadeh, M.D.
Title
Manager
Phone
(336) 765-2500

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

110 East Blue Ridge St.
Stuart, VA 24171-1560

Mailing address

110 East Blue Ridge St
Stuart, VA 24171-1560
Phone (276) 692-2540

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
116217OtherVAAETNA
249989OtherVASOUTHERN HEALTH
DC09298OtherVAMEDICARE RR

Other names 1

NPPES NPI Registry
  • The Heart and Vascular Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2007.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1407830672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EAST BLUE RIDGE ST",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711560",
            "telephone_number": "276-692-2540",
            "fax_number": "336-719-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST BLUE RIDGE ST.",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711560",
            "telephone_number": "276-692-2540",
            "fax_number": "276-694-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BT HEART AND VASCULAR CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "TAGHIZADEH",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-765-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "116217",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "249989",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DC09298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart and Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.