CARDIAC AND VASCULAR ASSOCIATES LLC (NPI# 1104152768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104152768 |
| Entity Type | Organization |
| Organization Name | CARDIAC AND VASCULAR ASSOCIATES LLC |
| Practice Address |
1851 Mesquite Ave Suite 202 Lake Havasu City AZ 86403-5677 |
| Mailing Address |
301 Northlake Rd Columbia SC 29223-6009 |
| Practice Telephone | 9288555090 |
| Practice Fax Number | 9288559227 |
| Mailing Telephone | 8037306790 |
| Mailing Fax Number | 8037365536 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Authorized Official Name | MELVYN V MAHON (MEMBER) |
| Authorized Official Telephone | 8037306790 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CORPORATION NUMBER | L1560391-7 | 01 |
| Street Address |
1851 MESQUITE AVE SUITE 202 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504870 | Mohave Medical Imaging Center | Physiological Laboratory | 1851 Mesquite Ave, Suite 112, Lake Havasu City, AZ 86403-5677 | 2006-07-22 |
| 1881041200 | Haylee Younis | Nurse Practitioner | 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5677 | 2016-05-16 |
| 1891155974 | Hrmc, LLC | Dietitian, Registered | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2016-03-02 |
| 1447630538 | Hrmc, LLC | Internal Medicine | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5677 | 2015-06-03 |
| 1811397748 | Akdhc, LLC | Internal Medicine | 1851 Mesquite Ave, Suite 216, Lake Havasu City, AZ 86403-5677 | 2014-08-28 |
| 1033435599 | Harrison Mark Mcdonald Do Pllc | Internal Medicine | 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5677 | 2010-04-08 |
| 1255560884 | Khizer Salim Shaikh | Internal Medicine | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5677 | 2009-07-02 |
| 1437385192 | Arrow Perfusion Services LLC | Perfusionist | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-06-08 |
| 1427283092 | Western Arizona Cardiovascular Surgery Pllc | Surgery | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-05-26 |
| 1245343482 | Phc-lake Havasu Inc | Home Health | 1851 Mesquite Ave, Ste. 206, Lake Havasu City, AZ 86403-5677 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1518305309 | Christina Mayuko Dookhan | Internal Medicine | 2082 Mesquite Ave Ste 100a, Lake Havasu City, AZ 86403-6710 | 2013-06-13 |
| 1184624421 | Edward J Quinn | Internal Medicine | 150 Riviera Dr, Lake Havasu City, AZ 86403-5735 | 2005-07-28 |
| 1801194352 | Lakeside Heart and Vascular Center Pllc | Internal Medicine | 1741 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-5695 | 2011-03-08 |
| 1851553119 | Fadi Atassi | Internal Medicine | 2082 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-6710 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.