Southwest Cardiovascular Intervention Clinic, PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

M9797 Issued in TX

Legal business name

SOUTHWEST CARDIOVASCULAR INTERVENTION CLINIC, PA

Practice address

1508 N Zaragoza Rd Ste Abcd
El Paso, TX 79936-8034

Phone

(915) 298-5425

Fax

(915) 298-5430

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chikezie Chidiebere Amadi, M.D.NPI 1487616918

Title

President

Phone

(915) 373-9066

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Chikezie Chidiebere Amadi, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1487616918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1457517617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N ZARAGOZA RD STE ABCD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368034",
            "telephone_number": "915-298-5425",
            "fax_number": "915-298-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N ZARAGOZA RD STE ABCD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368034",
            "telephone_number": "915-298-5425",
            "fax_number": "915-298-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARDIOVASCULAR INTERVENTION CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CHIKEZIE",
        "authorized_official_middle_name": "CHIDIEBERE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-373-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M9797",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.