LEGACY HEART CARE OF MIDTOWN AUSTIN, LLC (NPI# 1356869804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356869804 |
| Entity Type | Organization |
| Organization Name | LEGACY HEART CARE OF MIDTOWN AUSTIN, LLC |
| Other Organization Name | LEGACY HEART CARE OF AUSTIN, LLC. |
| Practice Address |
901 W 38th St Ste 403 Austin TX 78705-1162 |
| Mailing Address |
2500 West Fwy Ste 200 Fort Worth TX 76102-5851 |
| Practice Telephone | 5124191100 |
| Practice Fax Number | 5124191099 |
| Mailing Telephone | 8174234400 |
| Mailing Fax Number | 8174238080 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | MICHAEL B GRATCH (PRESIDENT) |
| Authorized Official Telephone | 8174234400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Legacy Heart Care of Austin, LLC. | Former Legal Business Name - Organization |
| Street Address |
901 W 38TH ST STE 403 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1346768892 | Legacy Heart Care of South Austin, LLC | Internal Medicine | 1807 W Slaughter Ln Ste 485, Austin, TX 78748-6204 | 2017-09-05 |
| 1982964037 | Michael Rotman | Internal Medicine | 311 Addie Roy Rd, Austin, TX 78746-4125 | 2012-05-23 |
| 1811254857 | Itamar Birnbaum | Internal Medicine | 1015 E 32nd St Ste 508, Austin, TX 78705 | 2012-04-16 |
| 1366775942 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 4316 James Casey, Building C, Austin, TX 78745-1157 | 2009-09-14 |
| 1649503236 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2555 Western Trls. Blvd., Ste. 102, Austin, TX 78745-1574 | 2009-09-14 |
| 1760610620 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 5656 Bee Caves Road, Bldg. M, Ste. 300, Austin, TX 78746-5280 | 2009-06-30 |
| 1033347992 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 11111 Research Blvd., Suite 360, Austin, TX 78759-5264 | 2009-06-30 |
| 1760610042 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2200 Park Bend, Bldg, 2, Ste. 300, Austin, TX 78758-5386 | 2009-06-25 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.