The Heart Doctor, Inc.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

THE HEART DOCTOR, INC.

Practice address

5124 North St
Nacogdoches, TX 75965-1368

Phone

(936) 564-2828

Fax

(936) 569-1956

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Hoyt Young, M.D.

Title

President of Company

Phone

(936) 564-2828

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811985534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651368",
            "telephone_number": "936-564-2828",
            "fax_number": "936-569-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651368",
            "telephone_number": "936-564-2828",
            "fax_number": "936-569-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART DOCTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HOYT",
        "authorized_official_title_or_position": "PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "936-564-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0005EV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TH Healthcare, LTD
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• Ronald G. Theiss, DDS, MAGD
• Therapy Elite, LLC
• Clifton E Thomas, M.D.
• David Andrew Thomas, M.D.
• Thompson & Glymph, PA

• Interventional Cardiology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.