Organization Active NPI

Pediatric Cardiology Consultants of South Texas

  • Pediatric Cardiology Physician
  • Live Oak, TX
National Provider Identifier
1598357998
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXAS
Practice address
11485 Toepperwein Rd Ste 2
Live Oak, TX 78233-3144
Phone
(210) 372-7238
NPI assigned
Feb 7, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Olawale OlabiyiNPI 1861666547
Title
Director
Phone
(210) 655-4278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X NU Primary

Addresses

Primary practice location

11485 Toepperwein Rd Ste 2
Live Oak, TX 78233-3144

Mailing address

11485 Toepperwein Rd Ste 2
Live Oak, TX 78233-3144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pccst.com Direct

National Provider Directory

National Provider Directory

Locations

11485 Toepperwein Rd
Ste 2
Live Oak, TX 78233
Phone (210) 372-7238

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1598357998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 TOEPPERWEIN RD STE 2",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11485 TOEPPERWEIN RD STE 2",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333144",
            "telephone_number": "210-372-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "OLABIYI",
        "authorized_official_first_name": "OLAWALE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-655-4278",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pccst.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11485 Toepperwein Rd Ste 2",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.