Nacogdoches Cardiovascular Associates PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NACOGDOCHES CARDIOVASCULAR ASSOCIATES PA

Practice address

1004 N Mound St
Nacogdoches, TX 75961-4437

Phone

(936) 305-5165

Fax

(936) 238-7654

NPI assigned

Apr 8, 2016

Last updated

Jul 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanmugam Uthamalingam, M.D.

Title

Owner

Phone

(936) 305-5165

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468627200000",
    "number": "1891159521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614437",
            "telephone_number": "936-305-5165",
            "fax_number": "936-238-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614437",
            "telephone_number": "936-305-5165",
            "fax_number": "936-238-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES CARDIOVASCULAR ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-07-16",
        "status": "A",
        "authorized_official_last_name": "UTHAMALINGAM",
        "authorized_official_first_name": "SHANMUGAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-305-5165",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nacogdoches County Hospital District (Nacogdoches Memorial Professional Group)
• Nacogdoches County Hospital District
• Nacogdoches County Hospital District (Nacogdoches Memorial Hospital ER MD CIDC)

• Cardiovascular Disease Physician in Nacogdoches, TX
• Providers in Nacogdoches, 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 Jul 16, 2016; 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.