Active NPI
Jill Grounds Cardiology PLLC
- Interventional Cardiology Physician
- Beaumont, TX
National Provider Identifier
1487184040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.