ALEXANDRE A PETRAKIAN (NPI# 1811987654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811987654 |
| Entity Type | Individual |
| Full Name | ALEXANDRE A PETRAKIAN |
| Credential | MD |
| Practice Address |
1783 Troup Hwy Tyler TX 75701 |
| Mailing Address |
1783 Troup Hwy Tyler TX 75701-5869 |
| Practice Telephone | 9035952283 |
| Practice Fax Number | 9035951063 |
| Mailing Telephone | 9035952283 |
| Mailing Fax Number | 9035951063 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
K6234 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
K6234 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 87792Y | 01 |
| TX | 045057901 | 05 | |
| TX | RAILROAD MEDICARE | 060060260 | 01 |
| LA | 1776521 | 05 | |
| TX | SMITH COUNTY INDIGENT | 045057901 | 01 |
| Street Address |
1783 TROUP HWY |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735122 | Carl Noah Israel | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-24 |
| 1144632621 | Aligned Providers of East Texas | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2014-06-02 |
| 1619114659 | Rachel Devaney | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2009-01-13 |
| 1902817992 | Kyle James Smith | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2006-08-11 |
| 1699712703 | Richard William Lowry | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2006-05-31 |
| 1447212303 | Cardiovascular Associates of East Texas Pa | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2006-04-05 |
| 1649260373 | Jeffrey G Carr | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-25 |
| 1255321980 | Sherif S Iskander | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-25 |
| 1043200785 | Scott A Wright | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-25 |
| 1326038159 | Scott M Lieberman | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1215283841 | Cvc Cardiac Cath Lab Pllc | Internal Medicine | 2401 Sse Loop 323, Tyler, TX 75701-6027 | 2012-08-01 |
| 1447212303 | Cardiovascular Associates of East Texas Pa | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2006-04-05 |
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|---|---|---|---|---|
| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1548813207 | Cardiac Arrhythmia Care, Pllc | Internal Medicine | 9440 Bellaire Blvd Ste 206, Houston, TX 77036-4557 | 2019-07-22 |
| 1528527983 | Brazos Ep Pllc | Internal Medicine | 1721 Birmingham Dr Ste 202, College Station, TX 77845-4081 | 2019-03-15 |
| 1245726108 | Pds Turnkey LLC | Internal Medicine | 18320 Michaelangelo Dr Apt Suite, Dallas, TX 75287-3334 | 2018-07-03 |
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1689028334 | Billy Dimas Md Pllc | Internal Medicine | 5610 Northmoor Dr, Dallas, TX 75230-2644 | 2016-04-19 |
| 1639555014 | Kamran A Rizvi Md Pa | Internal Medicine | 5713 Pantheon Ct, Plano, TX 75024-4569 | 2015-08-07 |
| 1104164672 | Zarzamora Medical Associates | Internal Medicine | 626 S Zarzamora St, San Antonio, TX 78207-5254 | 2013-01-17 |
| 1164734059 | Cardiovascular Specialists of Texas | Internal Medicine | 206 Cr 340-a, Bldg. 4, Ste. A, Burnet, TX 78611 | 2010-07-08 |
| 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.