Organization Active NPI

Heartcare Specialist PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1740430669
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M0307 Issued in TX
Legal business name
HEARTCARE SPECIALIST PLLC
Practice address
7777 Forest LN Ste C335
Dallas, TX 75230-2505
Phone
(972) 566-8388
NPI assigned
Sep 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Dr. Phi Wiegn, MD
Title
President
Phone
(972) 566-8388

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X M0307 TX
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X M0307 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C335
Dallas, TX 75230-2505

Mailing address

PO Box 453187
Garland, TX 75045-3187
Phone (972) 566-8388

Other identifiers 2

IdentifierTypeStateIssuer
1998197MedicaidTX
0A0157OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2035 W McDermott Dr
Ste 430
Allen, TX 75013

7777 Forest Ln
Ste 335
Dallas, TX 75230

Practitioners & affiliated clinicians

Practitioners 3

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": "1222560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1740430669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453187",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453187",
            "telephone_number": "972-566-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C335",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTCARE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-28",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "WIEGN",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M0307",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M0307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998197",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0A0157",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2009; 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.