SOUTHWEST EP CLINIC (NPI# 1023332251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023332251 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST EP CLINIC |
| Practice Address |
1637 E Monument Plaza Cir Suite 1 Casa Grande AZ 85222-5638 |
| Mailing Address |
20930 N Tatum Blvd Suite 110 Box 164 Phoenix AZ 85050-4270 |
| Practice Telephone | 4807766844 |
| Practice Fax Number | 4802468940 |
| Mailing Telephone | 4807766844 |
| Mailing Fax Number | 4802468940 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DRORY S TENDLER (PRESIDENT) |
| Authorized Official Telephone | 6023091515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
32962 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326374190 | Southwest Ep Clinic | Internal Medicine | 2730 S Val Vista Dr, Bldg 9, Suite 152, Gilbert, AZ 85295-1675 | 2009-10-28 |
| Street Address |
1637 E MONUMENT PLAZA CIR SUITE 1 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184710188 | Mashood Qadri | Internal Medicine | 1637 E Monument Plaza Cir, Suite 1, Casa Grande, AZ 85222-5600 | 2006-10-05 |
| 1609344464 | Jami Mary Elizabeth Jacobsen | Nurse Practitioner | 1637 E Monument Plaza Cir, Casa Grande, AZ 85122-5638 | 2018-11-08 |
| 1568742740 | Chandler Neurology & Sleep Disorders Associates PC | Psychiatry & Neurology | 1637 E Monument Plaza Cir, Casa Grande, AZ 85122-5638 | 2011-08-19 |
| 1821306804 | Samantha Louise Sheire | Physician Assistant | 1637 E Monument Plaza Cir, Suite 1, Casa Grande, AZ 85122-5638 | 2010-09-23 |
| 1255560710 | Vincent J Tapia | Physician Assistant | 1637 E Monument Plaza Cir, Casa Grande, AZ 85222-5600 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| 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 |
|---|---|---|---|---|
| 1316575699 | Certified Medical Billing and Coding | Internal Medicine | 850 S Ironwood Dr Ste 102, Apache Junction, AZ 85120-6242 | 2020-03-31 |
| 1306315445 | East Valley Heart Rhythm Clinic LLC | Internal Medicine | 2680 S Val Vista Dr Ste 187, Siute 187, Gilbert, AZ 85295-1674 | 2018-11-19 |
| 1386159606 | Phoenix Area Cardiology and Electrophysiology LLC | Internal Medicine | 1331 N 7th St Ste 400, Phoenix, AZ 85006-2779 | 2017-12-08 |
| 1003127457 | Jaskanwal Singh Bisla | Internal Medicine | 3200 S Alma School Rd Ste 204, Chandler, AZ 85248-3773 | 2010-06-30 |
| 1770612848 | Akash Makkar | Internal Medicine | 2929 E Camelback Rd Ste 116, Phoenix, AZ 85016-4425 | 2007-03-05 |
| 1336220284 | Integrated Medical Services, Inc | Internal Medicine | 10815 W Mcdowell Rd Ste 204, Avondale, AZ 85392-5010 | 2006-10-18 |
| 1952345274 | John F Beshai | Internal Medicine | 7221 E Princess Blvd, Suite #102, Scottsdale, AZ 85255-9668 | 2006-06-16 |
| 1891795993 | Ashok Garg | Internal Medicine | 4550 E Bell Rd Ste 158, Phoenix, AZ 85032-9382 | 2005-07-29 |
| 1427051929 | Vijendra Swarup | Internal Medicine | 1848 E Thomas Rd Ste 100, Phoenix, AZ 85016-8112 | 2005-05-27 |
| 1093337719 | Honorhealth Ambulatory | Internal Medicine | 3198 N Windsong Dr, Prescott Valley, AZ 86314-2239 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.