CARDIOLOGY CARE OF ARIZONA PC (NPI# 1407050834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407050834 |
Entity Type | Organization |
Organization Name | CARDIOLOGY CARE OF ARIZONA PC |
Practice Address |
6750 E Baywood Ave Suite 503 Mesa AZ 85206-1749 |
Practice Telephone | 4809851093 |
Mailing Telephone | 4809851093 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2011-03-22 |
Authorized Official Name | DAVID WILCOXSON (PRESIDENT) |
Authorized Official Telephone | 4809851093 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | RAIL ROAD MEDICARE | 1407050834 | 01 |
RAIL ROAD MEDICARE | DG7796 | 01 |
Street Address |
6750 E BAYWOOD AVE SUITE 503 |
City | MESA |
State | AZ |
Zip Code | 85206-1749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657910 | G Andrew Sulit | Internal Medicine | 6750 E Baywood Ave, Ste 401, Mesa, AZ 85206-1749 | 2005-08-31 |
1821441718 | Amy Kleinhans | Nurse Practitioner | 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 | 2016-07-15 |
1992193957 | Robert James Mcleod | Physician Assistant | 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 | 2014-12-29 |
1508264201 | Suzanne Marie Woodhall | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2014-12-11 |
1003243643 | Marilyn Rose Schatz | Nurse Practitioner | 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206-1749 | 2013-09-27 |
1780929141 | Urologic Surgeons of Arizona Plc | Internal Medicine | 6750 E Baywood Ave, Ste 507, Mesa, AZ 85206-1749 | 2012-12-11 |
1720378276 | Weston William Sanders | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2011-04-17 |
1932384773 | Jacob T Green | Internal Medicine | 6750 E Baywood Ave, 301, Mesa, AZ 85206-1749 | 2007-12-28 |
1770762635 | Banner Cardio-thoracic and Vascular Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6750 E Baywood Ave, Suite 504, Mesa, AZ 85206-1749 | 2007-10-29 |
1073712154 | Denise Erickson | Pharmacist | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2007-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1770951980 | Evolution Healthcare Management LLC | Internal Medicine | 7615 E Baseline Rd, Suite 101, Mesa, AZ 85209-8520 | 2015-09-03 |
1790730604 | Pridhvi Rajakumar Yelamanchili | Internal Medicine | 2045 S Vineyard Ste 119, Mesa, AZ 85210-6889 | 2006-05-23 |
1245402346 | Advanced Cardiac Specialists, Chartered | Internal Medicine | 4838 E Baseline Rd, Bldg 2, Suites 109-110, Mesa, AZ 85206-4671 | 2008-03-28 |
1407065220 | I-hui Chiang | Internal Medicine | 10238 E Hampton Ave, Ste 501, Mesa, AZ 85209-3321 | 2007-05-21 |
1386739613 | Gurmit S Sandhu LLC | Internal Medicine | 1400 S Dobson Rd, Banner Desert Med Center, Mesa, AZ 85202-4707 | 2006-10-03 |
1407949738 | Gurmit S Sandhu | Internal Medicine | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 | 2006-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972113546 | Phoenician Cardiac Care LLC | Internal Medicine | 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 | 2020-08-07 |
1174023584 | Singh Cardiology, Pllc | Internal Medicine | 5170 E Glenn St Ste 130, Tucson, AZ 85712-7300 | 2018-02-13 |
1184122434 | Coordinated Health of Az, LLC | Internal Medicine | 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 | 2018-01-31 |
1912405796 | Cardiac Cin of Tucson LLC | Internal Medicine | 5151 E Broadway Blvd Ste 1600a, Tucson, AZ 85711-3777 | 2018-01-26 |
1578007597 | Rivera Physician Pllc | Internal Medicine | 4345 E Aliso Cyn, Phoenix, AZ 85044-5582 | 2016-12-09 |
1841650850 | Cardiac Cath Lab of Phoenix, Lp | Internal Medicine | 1910 E Thomas Rd, Suite 101, Phoenix, AZ 85016-7766 | 2016-03-03 |
1699118240 | Mohammed Tahir Hasoon | Internal Medicine | 9100 N 2nd St Ste 3100, Phoenix, AZ 85020-2446 | 2013-04-14 |
1124381637 | Raviinder Mann | Internal Medicine | 3501 N Scottsdale Rd Ste 348, Scottsdale, AZ 85251-5650 | 2012-06-19 |
1518245844 | Sunny Shyamsunder Jhamnani | Internal Medicine | 333 N Dobson Rd Ste 11, Chandler, AZ 85224-4412 | 2011-08-03 |
1710279625 | Shivani Shodhan | Internal Medicine | 9100 N 2nd St Ste 321, Phoenix, AZ 85020-2459 | 2011-05-11 |
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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.