NPIMap

Organization Active NPI

East Texas Heart & Vascular Imaging of Lufkin, PA

  • Cardiovascular Disease Physician
  • Lufkin, TX
National Provider Identifier
1669777033
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EAST TEXAS HEART & VASCULAR IMAGING OF LUFKIN, PA
Practice address
310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone
(936) 632-8787
Fax
(936) 632-8832
NPI assigned
Jan 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Dr. Jeevaratnam S Chandrasekar, M.D.
Title
President
Phone
(936) 632-8787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

310 Gaslight Blvd
Lufkin, TX 75904-3133

Mailing address

310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone (936) 632-8787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1669777033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS HEART & VASCULAR IMAGING OF LUFKIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKAR",
        "authorized_official_first_name": "JEEVARATNAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-632-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.