Organization Active NPI

Cardiovascular Specialists of Texas, P.a.

  • Interventional Cardiology Physician
  • Round Rock, TX
National Provider Identifier
1548403371
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.
Practice address
7215 Wyoming Springs Dr.
BLDG. 1, Ste. 100
Round Rock, TX 78681-4311
Phone
(512) 807-3180
Fax
(512) 615-0459
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mark N Chutich
Title
Director of Business Services
Phone
(512) 615-6224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

7215 Wyoming Springs Dr.
BLDG. 1, Ste. 100
Round Rock, TX 78681-4311

Mailing address

7215 Wyoming Springs Dr.
BLDG. 1, Ste. 100
Round Rock, TX 78681-4311
Phone (512) 807-3180

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1098886Cardiovascular Specialists of Texas7215 Wyoming Springs Dr BLDG 1 Ste 100, Round Rock, TX 78681Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1548403371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 WYOMING SPRINGS DR.",
            "address_2": "BLDG. 1, STE. 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814311",
            "telephone_number": "512-807-3180",
            "fax_number": "512-615-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 WYOMING SPRINGS DR.",
            "address_2": "BLDG. 1, STE. 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814311",
            "telephone_number": "512-807-3180",
            "fax_number": "512-615-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "CHUTICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "512-615-6224"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.