South Hampton Multi-Specialty Clinic

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTH HAMPTON MULTI-SPECIALTY CLINIC

Doing business as

Comprehensive Cardiac and Vascular Interventional Group

Practice address

221 W Colorado Blvd Ste 730
Dallas, TX 75208-2357

Phone

(214) 946-9898

Fax

(214) 946-7445

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Edward Downs

Title

President

Phone

(214) 623-4400

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Cardiac and Vascular Interventional Group Doing business as

Locations

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.

• Karen Delane Dickerson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mesquite, TX
  • NPI 1861475956
  NPD (past)
• George Mark Jenkins, MD

  • Cardiovascular Disease Physician
  • Desoto, TX
  • NPI 1821032731
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1689986465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243026",
            "telephone_number": "214-623-4400",
            "fax_number": "214-623-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 730",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-946-9898",
            "fax_number": "214-946-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAMPTON MULTI-SPECIALTY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-623-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Cardiac and Vascular Interventional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• South Loop 12 Medical Clinic LLC
• South Polk Medical Clinic LLC
• South Texas Dental Associate, L.P.
• South Texas Dental Associates, L.P.
• South Texas Dental Associates, L.P.

• Cardiovascular Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.