NPIMap

Organization Active NPI

Associates in Surgical Acute Care

Doing business as Cardiac and Vascular Interventional Group

  • Trauma Surgery Physician
  • Dallas, TX
National Provider Identifier
1730345208
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
ASSOCIATES IN SURGICAL ACUTE CARE
Doing business as
Cardiac and Vascular Interventional Group
Practice address
221 W. Colorado Blvd.
Pavilion II, Suite 933
Dallas, TX 75208
Phone
(214) 933-6030
Fax
(214) 946-7445
NPI assigned
Aug 4, 2008
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Martin Koonsman, MDNPI 1992746580
Title
President
Phone
(214) 947-2523

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
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

221 W. Colorado Blvd.
Pavilion II, Suite 933
Dallas, TX 75208

Mailing address

1441 N. Beckley Ave.
Attn: Administration
Dallas, TX 75203
Phone (214) 520-5700

Other names 1

  • Cardiac and Vascular Interventional Group Doing business as

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 318
Dallas, TX 75208
Phone (214) 933-6030

Practitioners & affiliated clinicians

Practitioners 3

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": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1730345208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N. BECKLEY AVE.",
            "address_2": "ATTN: ADMINISTRATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-520-5700",
            "fax_number": "214-520-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD.",
            "address_2": "PAVILION II, SUITE 933",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-933-6030",
            "fax_number": "214-946-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN SURGICAL ACUTE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "KOONSMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-947-2523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac and Vascular Interventional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.