Active NPI
Woodlands Heart and Vascular Institute, PA
- Interventional Cardiology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- K7017
- Legal business name
- WOODLANDS HEART AND VASCULAR INSTITUTE, PA
- Practice address
- 920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260 - Phone
- (832) 562-3974
- Fax
- (832) 813-0233
- NPI assigned
- Aug 27, 2009
- Last updated
- Jul 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Fernandes, MD
- Title
- Physician
- Phone
- (832) 562-3974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | K7017 | TX | Primary |
Addresses
Primary practice location
920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260
Mailing address
920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260
Phone (832) 562-3974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021SQ | Other | TX | BLUE CROSS AND BLUE SHIELD OF TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 River Pointe Dr
Ste 104
Conroe, TX 77304
Phone (936) 756-0404
920 Medical Plaza Dr
Ste 520
Shenandoah, TX 77380
Phone (832) 562-3974
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Interventional Cardiology Physician
- Shenandoah, TX
- NPI 1811083116
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1891452264
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1932842093
-
- Vascular Surgery Physician
- Houston, TX
- NPI 1083997381
-
- Family Nurse Practitioner
- Humble, TX
- NPI 1497032528
-
- Physician Assistant
- Houston, TX
- NPI 1952959801
-
- Family Medicine Physician
- Shenandoah, TX
- NPI 1144270448
-
- Nurse Practitioner
- Livingston, TX
- NPI 1962488643
-
- Family Nurse Practitioner
- The Woodlands, TX
- NPI 1205302544
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1114379831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627257600000",
"number": "1982837605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR",
"address_2": "SUITE 520",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803260",
"telephone_number": "832-562-3974",
"fax_number": "832-813-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR",
"address_2": "SUITE 520",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803260",
"telephone_number": "832-562-3974",
"fax_number": "832-813-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLANDS HEART AND VASCULAR INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A",
"authorized_official_last_name": "FERNANDES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "832-562-3974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "K7017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF TX",
"identifier": "0021SQ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
- Woodlands Arthritis Clinic PA
- Woodlands Cardiovascular Center PLLC
- Woodlands Diagnostic Clinic, PA
- Woodlands Elite Cardiology, PLLC
- Woodlands Endoscopy Centr, LTD. (Woodlands Endoscopy Center)
- Woodlands Internal Medicine, P.a.
- Woodlands Internist Management III, LLC
- Woodlands Neurology Clinic PLLC
- Woodlands Neuromuscular PA (Burrows Muscle and Nerve Center)
- Woodlands Pain Institute PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.