Organization Active NPI

Jill Grounds Cardiology PLLC

  • Interventional Cardiology Physician
  • Beaumont, TX
National Provider Identifier
1487184040
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
JILL GROUNDS CARDIOLOGY PLLC
Practice address
3345 Plaza 10 Dr Ste E
Beaumont, TX 77707-2553
Phone
(409) 838-2626
Fax
(409) 838-1980
NPI assigned
Jun 15, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Jill Kathleen Grounds, MD
Title
Owner/Provider
Phone
(816) 582-1103

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

3345 Plaza 10 Dr Ste E
Beaumont, TX 77707-2553

Mailing address

3345 Plaza 10 Dr. Ste E
Beaumont, TX 77707-2553
Phone (409) 838-2626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1487184040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR. STE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR STE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL GROUNDS CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "GROUNDS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "816-582-1103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.