Andre P Desire, MD, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ANDRE P DESIRE, MD, PA

Practice address

1631 11TH St
Suite B
Wichita Falls, TX 76301-4320

Phone

(940) 687-5000

Fax

(940) 687-4000

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Sukie Desire

Title

Office Manager

Phone

(940) 687-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Andre Pothel Desire, MD

  • Interventional Cardiology Physician
  • Wichita Falls, TX
  • NPI 1568427714

  Cardiovascular Disease

  Medicare reassignment NPD
• Linda Jane Waters, CFNP

  • Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1982701090
  Medicare reassignment NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1821016676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH ST",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-687-5000",
            "fax_number": "940-687-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH ST",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-687-5000",
            "fax_number": "940-687-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE P DESIRE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "DESIRE",
        "authorized_official_first_name": "SUKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-687-5000"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174352801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B - RR",
            "identifier": "060063342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Wolfe Wellness PLLC
• Mihaela Anastase, M.D.
• Lane A Anderson, MSN RN PPCNP-BC CPN
• Michael Alan Anderson, M.D.
• Andra Ray (Ray and Ray Counseling Services)
• Jaclyn Jo Andrew
• Aniol III, LLC (Carriage Bend House)
• Rachelynn Joy Anthony
• Neftaly Amairany Aranda, LMSW
• Arbor Wichita Opco, LLC (Arbor House)

• Cardiovascular Disease Physician in Wichita Falls, TX
• Providers in Wichita Falls, 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 May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.