Organization Active NPI

Montgomery County Cardiovascular Associates PA

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1538333448
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J1022 Issued in TX
Legal business name
MONTGOMERY COUNTY CARDIOVASCULAR ASSOCIATES PA
Practice address
2101 S Loop 336 W
Conroe, TX 77304-3711
Phone
(936) 441-8010
Fax
(936) 760-2532
NPI assigned
Apr 22, 2008
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Karunakar P. Reddy, M.D.
Title
Owner
Phone
(936) 441-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J1022 TX Primary

Addresses

Primary practice location

2101 S Loop 336 W
Conroe, TX 77304-3711

Mailing address

2101 S Loop 336 W
Conroe, TX 77304-3711
Phone (936) 441-8010

Other identifiers 1

IdentifierTypeStateIssuer
085410101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1538333448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043711",
            "telephone_number": "936-441-8010",
            "fax_number": "936-760-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043711",
            "telephone_number": "936-441-8010",
            "fax_number": "936-760-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY CARDIOVASCULAR ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KARUNAKAR P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-441-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085410101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.