| Waco Cardiology Cath Lab | |
|
7125 Sanger Ave Suite D Waco TX 76712-4054 | |
| (254) 776-0800 | |
| (254) 776-0801 |
| Full Name | Waco Cardiology Cath Lab |
|---|---|
| Speciality | Clinic/Center |
| Location | 7125 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Kelly Marie Bemis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8585045667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waco Cardiology Cath Lab Dept# 3014, Po Box 4417 Houston TX 77210-4417 Ph: (610) 644-8900 | Waco Cardiology Cath Lab 7125 Sanger Ave Suite D Waco TX 76712-4054 Ph: (254) 776-0800 |
| NPI Number | 1285914291 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 7113189473 |
|---|---|
| Medicare Enrollment ID | O20120502000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285914291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jason D Zagrodzky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912982018 PECOS PAC ID: 3072509140 Enrollment ID: I20040423000159 |
| Provider Name | Andrew K Day |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891791695 PECOS PAC ID: 4385616473 Enrollment ID: I20040810000138 |
| Provider Name | Harvey R Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144245374 PECOS PAC ID: 5092749010 Enrollment ID: I20050920000568 |
| Provider Name | Sherwin Farzad Attai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861540726 PECOS PAC ID: 2668420456 Enrollment ID: I20081020000264 |
| Provider Name | Shawn J Skeen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396904553 PECOS PAC ID: 1254484934 Enrollment ID: I20090728000411 |
| Provider Name | William Robert Pitts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891799300 PECOS PAC ID: 0042393787 Enrollment ID: I20100726000398 |
| Provider Name | Charles Albert Shoultz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780680496 PECOS PAC ID: 0941383681 Enrollment ID: I20100726000459 |
| Provider Name | Rodney A. Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639174337 PECOS PAC ID: 8224111968 Enrollment ID: I20100726000467 |
| Provider Name | Donald Stanley Cross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447256110 PECOS PAC ID: 2860575503 Enrollment ID: I20100726000488 |
| Provider Name | Adam M Falcone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558534958 PECOS PAC ID: 6305001355 Enrollment ID: I20120626000297 |
| Provider Name | Brian Cody Barnett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699902585 PECOS PAC ID: 9830355056 Enrollment ID: I20120716000350 |
| Provider Name | Timothy N Ball |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225342397 PECOS PAC ID: 8628291929 Enrollment ID: I20140513001599 |
| Provider Name | Clay M Barbin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659715696 PECOS PAC ID: 3971873472 Enrollment ID: I20170717000748 |
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