LIFETIME CARDIOVASCULAR, PLC (NPI# 1114324837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114324837 |
| Entity Type | Organization |
| Organization Name | LIFETIME CARDIOVASCULAR, PLC |
| Other Organization Name | LIFETIME HEART AND VASCULAR |
| Practice Address |
3185 N Windsong Dr Prescott Valley AZ 86314-2240 |
| Mailing Address |
2487 S Gilbert Rd Ste 106-486 Gilbert AZ 85295-8899 |
| Practice Telephone | 4806995536 |
| Practice Fax Number | 4806999283 |
| Mailing Telephone | 4806995536 |
| Mailing Fax Number | 4806999283 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | GAUTAM KEDIA (MD) |
| Authorized Official Telephone | 4806995536 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 872220 | 05 |
| Other Name | Type Code |
|---|---|
| Lifetime Heart and Vascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548652571 | Lifetime Cardiovascular, Plc | Internal Medicine | 1760 E Florence Blvd, #200, Casa Grande, AZ 85122-4764 | 2015-02-27 |
| 1689071391 | Lifetime Cardiovascular, Plc | Internal Medicine | 287 E Hunt Hwy, Ste 105, San Tan Valley, AZ 85143-5095 | 2014-11-24 |
| Street Address |
3185 N WINDSONG DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780620484 | Nitin C Patel | Specialist | 3185 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| 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 |
|---|---|---|---|---|
| 1417910167 | Amad Zineldine | Internal Medicine | 7700 E Florentine Rd Ste 206, Prescott Valley, AZ 86314 | 2006-04-11 |
| 1366691552 | Anil Kumar | Internal Medicine | 7700 E Florentine Rd, Bldg. B Ste. 206, Prescott Valley, AZ 86314-2245 | 2008-09-12 |
| 1174702591 | Arizona Heart Institute Prescott Valley | Internal Medicine | 3188 N Windsong Dr, Suite B, Prescott Valley, AZ 86314-1220 | 2007-11-01 |
| 1043224397 | Nathan D Zilz | Internal Medicine | 7700 E Florentine Rd Ste 206, Cardiology Clinic 2nd Floor, Prescott Valley, AZ 86314-2245 | 2006-07-29 |
| 1396716536 | Steven S Mehta | Internal Medicine | 7700 E Florentine Rd, Ste 206, Prescott Valley, AZ 86314-2245 | 2006-01-27 |
| 1942204854 | Sergio Fernando Soto | Internal Medicine | 7700 E Florentine Rd, Bldg. B Ste 206, Prescott Valley, AZ 86314-2245 | 2005-06-08 |
| 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 | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.