Organization Active NPI

Paris Cardiology Center Cath Lab P.a.

  • Ambulatory Surgical Clinic/Center
  • Paris, TX
National Provider Identifier
1821477407
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130239 Issued in TX
Legal business name
PARIS CARDIOLOGY CENTER CATH LAB P.A.
Practice address
2620 Spur 139
Paris, TX 75462
Phone
(903) 783-1920
Fax
(469) 519-0390
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Mrs. Ayesha Shafiq
Title
Director
Phone
(903) 517-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 130239 TX Primary

Addresses

Primary practice location

2620 Spur 139
Paris, TX 75462

Mailing address

2620 Spur139
Paris, TX 75462
Phone (903) 783-1920

Other names 1

  • Paris Cardiology Center Cath Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150622000123 TX Part B Supplier - Ambulatory Surgical Center 8921319732 Practice locations: Paris, TX

Ambulatory surgical center certification: CCN 45C0001584

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PARIS CARDIOLOGY CENTER CATH LAB
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 8, 2015
Last certification
Nov 8, 2015
Ownership / control type
Proprietary
Facility address
2620 Spur 139
Paris, TX 75462

National Provider Directory

National Provider Directory
Tax ID family
Paris Cardiology Center Cath Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1821477407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 SPUR139",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75462",
            "telephone_number": "903-783-1920",
            "fax_number": "469-519-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 SPUR 139",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75462",
            "telephone_number": "903-783-1920",
            "fax_number": "469-519-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS CARDIOLOGY CENTER CATH LAB P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-517-5431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paris Cardiology Center Cath Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.