Organization Active NPI

Abilene Cardiology Consultants PA

  • Cardiovascular Disease Physician
  • Abilene, TX
National Provider Identifier
1417068875
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ABILENE CARDIOLOGY CONSULTANTS PA
Practice address
1201 N 18TH St
Abilene, TX 79601-2932
Phone
(325) 793-3100
Fax
(325) 673-9223
NPI assigned
Aug 31, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Diane Cook
Title
Ceo
Phone
(325) 793-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1201 N 18TH St
Abilene, TX 79601-2932

Mailing address

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Other identifiers 4

IdentifierTypeStateIssuer
CP3090OtherRAILROAD MEDICARE
081839501MedicaidTX
CC204051306OtherFIRSTCARE
00BW79OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1680 Antilley Rd
Ste 100
Abilene, TX 79606
Phone (325) 793-3300

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1417068875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100",
            "fax_number": "325-673-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100",
            "fax_number": "325-673-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE CARDIOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-793-3314"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP3090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081839501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "CC204051306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00BW79",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.