HEART RHYTHM SPECIALIST OF AZ (NPI# 1275864563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275864563 |
| Entity Type | Organization |
| Organization Name | HEART RHYTHM SPECIALIST OF AZ |
| Other Organization Name | HEART RYHTHM SPECIALIST OF AZ |
| Practice Address |
20950 N Tatum Blvd 270 Phoenix AZ 85050-4200 |
| Practice Telephone | 6024819318 |
| Practice Fax Number | 6027591966 |
| Mailing Telephone | 6024819318 |
| Mailing Fax Number | 6027591966 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. WILBER W. SU (CEO/OWNER) |
| Authorized Official Telephone | 6024819318 |
| 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 |
34004 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | BS6092124 | 01 |
| Other Name | Type Code |
|---|---|
| Heart Ryhthm Specialist of Az | Doing Business As Name - Organization |
| Street Address |
20950 N TATUM BLVD 270 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604708 | Steven Cary Simon | Surgery | 20950 N Tatum Blvd, Suite 308, Phoenix, AZ 85050-4200 | 2005-07-22 |
| 1689110314 | Trusted Care Surgery Centers LLC | Clinic/Center | 20950 N Tatum Blvd, Suite 170, Phoenix, AZ 85050-4200 | 2017-01-19 |
| 1790141224 | Cheryl Schaaf | Registered Nurse | 20950 N Tatum Blvd, Suite 150, Phoenix, AZ 85050-4200 | 2016-01-13 |
| 1659749190 | Micheal Papademetriou | Dentist | 20950 N Tatum Blvd, 370, Phoenix, AZ 85050-4200 | 2015-09-14 |
| 1124427828 | Derrick A. Debenedetto | Physical Therapist | 20950 N Tatum Blvd, Ste. 100, Phoenix, AZ 85050-4200 | 2014-08-19 |
| 1770997413 | Kaitlyn Kakar | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2014-06-19 |
| 1568874683 | Az Pain Consultants LLC | Pain Medicine | 20950 N Tatum Blvd, Suite 220, Phoenix, AZ 85050-4200 | 2014-05-22 |
| 1215363320 | Desert Ridge Oral,facial & Implant Surgery, Pllc | Dentist | 20950 N Tatum Blvd, Suite 120, Phoenix, AZ 85050-4200 | 2013-09-20 |
| 1427490242 | Lauren K. Hasquet | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2013-07-22 |
| 1588960512 | Desert Ridge Implant & Oral Surgery PC | Dentist | 20950 N Tatum Blvd, Ste. 120, Phoenix, AZ 85050-4200 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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 |
|---|---|---|---|---|
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1144468596 | Howard Jay Reuben | Internal Medicine | 505 W Mcdowell Rd Ste A, Phoenix, AZ 85003-1259 | 2009-01-22 |
| 1780821546 | Khawaja Consulting, P.C. | Internal Medicine | 1818 W Calle Escuda, Phoenix, AZ 85085-8022 | 2009-01-15 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1356550016 | Herbert R. Kahn | Internal Medicine | 1300 N 12th St Ste 510, Phoenix, AZ 85006-2849 | 2007-05-21 |
| 1205055407 | James Daniel D'antonio | Internal Medicine | 5133 N Central Ave Ste 100, Phoenix, AZ 85012-1438 | 2007-04-25 |
| 1619096765 | Darrell Dean Smith | Internal Medicine | 5456 E Lafayette Blvd, Phoenix, AZ 85018-4522 | 2007-03-28 |
| Find all providers in PHOENIX | ||||
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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.