ST DAVIDS HEART & VASCULAR PLLC NPI 1700887700

NPI Information

  • NPI: 1700887700
  • Provider Name: ST DAVIDS HEART & VASCULAR, PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Former Legal Business Name: AUSTIN HEART, PLLC
  • CLIA Number: 45D0956290
  • Address: 3801 N LAMAR BLVD
    STE 300
    AUSTIN, TX
    ZIP 78756
  • Phone: (512) 206-3600

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NPI Details

ST DAVIDS HEART & VASCULAR, PLLC 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. ST DAVIDS HEART & VASCULAR, PLLC NPI is 1700887700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Austin Heart, Pllc.

The provider's business location address is:

3801 N LAMAR BLVD
STE 300
AUSTIN, TX
ZIP 78756-080
Phone: (512) 206-3600
Fax: (512) 454-2581

The provider's authorized official is Steve Gornik .
The authorized official title is Ceo and has the following contact phone number (512) 206-4367.

The CLIA number assigned to this NPI record is 45D0956290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 10/29/2015.

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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RS0012XInternal MedicineSleep MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseYes

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
100LK13MEDICARE PINTEXAS
20949521-02MEDICAIDTEXAS
300U87QMEDICARE PINTEXAS
40937849-03MEDICAIDTEXAS

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: 3/30/2025

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