Advanced Heart Care PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED HEART CARE PA

Practice address

8150 N Central Expy
Suite M-1001
Dallas, TX 75206-1815

Phone

(214) 221-0022

Fax

(214) 691-8292

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Jeffery R Gladden, MD

Title

President

Phone

(214) 221-0022

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 31

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

• Brian T Blatt, DO

  • Cardiovascular Disease Physician
  • Plano, TX
  • NPI 1194796888

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Jason S Finkelstein, MD

  • Interventional Cardiology Physician
  • Decatur, TX
  • NPI 1750355103

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Lesley Anne Friedman, ACNP

  • Nurse Practitioner
  • Plano, TX
  • NPI 1619112521

  TX

  Medicare reassignment NPD
• Mistie B. Granberry, FNP

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1639587462

  TX

  Medicare reassignment NPD
• Trieu Ho, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Grapevine, TX
  • NPI 1568634681

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Millicent Kee, FNP

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1972767804

  TX

  Medicare reassignment NPD
• Ali Mithani, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Plano, TX
  • NPI 1952538555

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Dat Nguyen, D.O.

  • Interventional Cardiology Physician
  • Plano, TX
  • NPI 1295902047

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Adam R Shapira, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
  • NPI 1942472386

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Ryan Scott Mandell, DO

  • Clinical Cardiac Electrophysiology Physician
  • Browns Mills, NJ
  • NPI 1598920183

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Jai Varma, MD

  • Interventional Cardiology Physician
  • Shreveport, LA
  • NPI 1952520488

  Cardiovascular Disease, TX

  Medicare reassignment NPD
• Jill Foster Ballantine, PA

  • Physician Assistant
  • Paris, TX
  • NPI 1467691691

  TX

  Medicare reassignment

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1538197546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "M1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "SUITE M-1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-221-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146977701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109406203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109406202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Integrated Medications
• Advanced Medical Services Associates, LLC
• Advanced Medicine & Rehabilitation of Texas
• Advanced Medicine and Rehabilitation of Texas, Inc.
• Advanced Microsurgery of the Spine, P.a.

• All providers in Dallas, TX
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.