COMPREHENSIVE CARDIAC CARE PLLC (NPI# 1427528439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427528439 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE CARDIAC CARE PLLC |
| Practice Address |
710 Gaslight Blvd Lufkin TX 75904 |
| Practice Telephone | 9366390988 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | SUBRAMANYA VARA PRASAD GAJARAJU VENKATA (OWNER) |
| Authorized Official Telephone | 9366390988 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3806259-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013155654 | Comprehensive Cardiac Care Pllc | Internal Medicine | 4910 Massachusetts Ave Nw, Suite 302, Washington, DC 20016-4388 | 2009-02-03 |
| Street Address |
710 GASLIGHT BLVD |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306852041 | Alexander Orlov | Family Medicine | 710 Gaslight Blvd, Ste. A, Lufkin, TX 75904-3153 | 2006-08-01 |
| 1871032201 | Heart & Vascular Diagnostic Clinic Pa | Internal Medicine | 710 Gaslight Blvd, Suite A, Lufkin, TX 75904-3153 | 2017-02-17 |
| 1295992436 | M G Dental Associates | Dentist | 710 Gaslight Blvd, Ste C, Lufkin, TX 75904-3153 | 2008-05-16 |
| 1033391800 | Amir F Mohani | Internal Medicine | 710 Gaslight Blvd, Suite B, Lufkin, TX 75904-3153 | 2007-12-03 |
| 1932312980 | Myra Lynn Gochnour | Dentist | 710 Gaslight Blvd, Suite C, Lufkin, TX 75904-3153 | 2007-05-07 |
| 1699784603 | Steven Leigh Feld | Internal Medicine | 710 Gaslight Blvd, Ste A, Lufkin, TX 75904-3153 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730192212 | Brian Randolph Pickett | Internal Medicine | 1111 W Frank Ave Ste 203, Lufkin, TX 75904-3337 | 2006-08-14 |
| 1720004799 | Robert Victor Hallett | Internal Medicine | 1113 Ellis Ave, Lufkin, TX 75904-3346 | 2006-07-14 |
| 1275066615 | Hallett Heart Pa | Internal Medicine | 1113 Ellis Ave, Lufkin, TX 75904-3346 | 2017-04-04 |
| 1194065607 | Mhi Clinical Services | Internal Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2013-02-20 |
| 1669777033 | East Texas Heart & Vascular Imaging of Lufkin, Pa | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2011-01-17 |
| 1902074990 | Hallett Heart Pa | Internal Medicine | 1113 Ellis Ave, Lufkin, TX 75904-3346 | 2008-02-13 |
| 1578679239 | Chris Owen Woodard | Internal Medicine | 1111 W Frank Ave, Suite 203, Lufkin, TX 75904-3303 | 2006-08-22 |
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|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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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.