JOHN A DIECK PA NPI 1770744104

NPI Information

NPI: 1770744104
Provider Name: JOHN A DIECK PA

Doing Business As: TEXAS HEART & VASCULAR PA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4316 JAMES CASEY ST
BLDG. A
AUSTIN, TX
ZIP 78745
Phone: (512) 623-5300
Get Directions

JOHN A DIECK PA is a cardiovascular disease internal medicine in Austin, TX. The provider is 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. JOHN A DIECK PA NPI is 1770744104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Texas Heart & Vascular Pa.

The provider's business location address is:

4316 JAMES CASEY ST
BLDG. A
AUSTIN, TX
ZIP 78745-157
Phone: (512) 623-5300
Fax: (512) 623-5399

The provider's authorized official is John A Dieck .
The authorized official title is President and has the following contact phone number (512) 623-5300.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 4/14/2010.

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
1	207R00000X	Internal Medicine		G8081	TEXAS	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	G8081	TEXAS	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	G8081	TEXAS	No
4	207UN0901X	Nuclear Medicine	Nuclear Cardiology	G8081	TEXAS	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	G8081	TEXAS	Yes

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
1	0089RZ	OTHER	TEXAS	BCBSTX GROUP NUMBER
2	0A3429	MEDICARE PIN	TEXAS
3	197564101	MEDICAID	TEXAS
4	197564102	MEDICAID	TEXAS
5	DO6808	OTHER	TEXAS	MEDICARE RAILROAD
6	00Z407	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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