Provider Type Icon

STAR STATE HEART PLLC NPI 1477884740


NPI Information

NPI: 1477884740
Provider Name: STAR STATE HEART PLLC

Doing Business As: STAR STATE HEART & VASCULAR PLLC

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
200 MEDICAL PKWY
SUITE 270
LAKEWAY, TX
ZIP 78738
Phone: (512) 263-0123
Get Directions

STAR STATE HEART PLLC is an interventional cardiology internal medicine in Lakeway, TX. The provider is 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. STAR STATE HEART PLLC NPI is 1477884740. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Star State Heart & Vascular Pllc.

The provider's business location address is:

200 MEDICAL PKWY
SUITE 270
LAKEWAY, TX
ZIP 78738-782
Phone: (512) 263-0123
Fax: (512) 367-5841

The provider's authorized official is Samuel J. Demaio .
The authorized official title is Owner and has the following contact phone number (512) 263-0123.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 11/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseG6655TEXASNo
2207RI0011XInternal MedicineInterventional CardiologyG6655TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1134703111OTHERTEXASMEDICAID
20A6024MEDICARE PINTEXAS
3TXB144747OTHERTEXASMEDICARE
4211911702OTHERTEXASMEDICAID
58F24108OTHERTEXASMEDICARE
6TXB144746OTHERTEXASMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.