Heart and Vascular Center PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART AND VASCULAR CENTER PLLC

Practice address

3106 NW Arlington Ave
Lawton, OK 73505-6123

Phone

(580) 250-4278

Fax

(580) 581-1548

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Ronald Glen Woodson

Title

Administrator

Phone

(580) 250-4278

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1932477965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056123",
            "telephone_number": "580-250-4278",
            "fax_number": "580-581-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-250-4278"
    },
    "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": "200069590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthcare Innovations of Western Oklahoma, LLC
• Healthcare Management Group of Lawton Inc
• Healthstat Onsite Clinic Goodyear Lawton
• Healthstat Onsite Clinic Goodyear Vision Center
• Heart & Vascular Center PLLC
• Prinda Heaverin
• Vanessa Hebel, RN
• Lacey R. Hedrick, BHRS
• Alexandra Inez Heinchon
• Kimberly Tonja Heirigs

• Cardiovascular Disease Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.