Organization Active NPI

Amarillo Cardiovascular & Thoracic Surgery, P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Amarillo, TX
National Provider Identifier
1700918356
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J3727 Issued in TX
Legal business name
AMARILLO CARDIOVASCULAR & THORACIC SURGERY, P.A.
Practice address
1301 S. Coulter, Suite 103
Amarillo, TX 79106-1764
Phone
(806) 463-1712
Fax
(806) 463-1715
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Dr. Masoud A Alzeerah, M.D.
Title
President
Phone
(806) 463-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X J3727 TX Primary

Addresses

Primary practice location

1301 S. Coulter, Suite 103
Amarillo, TX 79106-1764

Mailing address

1301 S. Coulter, Suite 103
Amarillo, TX 79106-1764
Phone (806) 463-1712

Other identifiers 1

IdentifierTypeStateIssuer
080105201MedicaidTX

National Provider Directory

National Provider Directory

Locations

1301 S Coulter St
Ste 103
Amarillo, TX 79106
Phone (806) 463-1712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1700918356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S. COULTER, SUITE 103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061764",
            "telephone_number": "806-463-1712",
            "fax_number": "806-463-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S. COULTER, SUITE 103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061764",
            "telephone_number": "806-463-1712",
            "fax_number": "806-463-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO CARDIOVASCULAR & THORACIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "ALZEERAH",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-463-1712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J3727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080105201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.