ARIZONA HEART INSTITUTE LTD PRESCOTT (NPI# 1467653048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467653048 |
| Entity Type | Organization |
| Organization Name | ARIZONA HEART INSTITUTE LTD PRESCOTT |
| Practice Address |
802 Ainsworth Dr Suite A Prescott AZ 86301-1623 |
| Mailing Address |
Po Box 61773 Phoenix AZ 85082-1773 |
| Practice Telephone | 9284456025 |
| Practice Fax Number | 6022406177 |
| Mailing Telephone | 6026876701 |
| Mailing Fax Number | 6022406177 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KEN WALSH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6022662200 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARIZONA HEART INSTITUTE LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
802 AINSWORTH DR SUITE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739066 | Candace M Reid | Family Medicine | 802 Ainsworth Dr, Prescott, AZ 86301-1623 | 2005-09-08 |
| 1790153195 | Karlene Olson | Nurse Practitioner | 802 Ainsworth Dr, Prescott, AZ 86301-1623 | 2015-09-02 |
| 1528394830 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2009-10-20 |
| 1649503111 | J&g Medical Services Pllc | Obstetrics & Gynecology | 802 Ainsworth Dr, Suite C, Prescott, AZ 86301-1623 | 2009-09-15 |
| 1134335607 | Nicholas Kalayeh | Internal Medicine | 802 Ainsworth Dr, Ste. A, Prescott, AZ 86301-1623 | 2007-05-14 |
| 1588762504 | Edward Jin Ha | Internal Medicine | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2006-09-21 |
| 1568561025 | Baldwin S. Stutts IIi | Internal Medicine | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2006-09-21 |
| 1841395399 | Jeanette Marie Pilotte | Obstetrics & Gynecology | 802 Ainsworth Dr, Suite C, Prescott, AZ 86301-1623 | 2006-09-13 |
| 1700811049 | Ann Louise Curry | Physician Assistant | 802 Ainsworth Dr, Ste. B & C, Prescott, AZ 86301 | 2006-07-12 |
| 1043243801 | Matthew Alexander Namihas | Physician Assistant | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1356698831 | Barbara Ann Bruno | Internal Medicine | 5330 E Softwind Trl, Prescott, AZ 86303-6884 | 2012-08-14 |
| 1194835199 | Andrew S Newton | Internal Medicine | 919 Twelfth Place, Suite 14, Prescott, AZ 86305 | 2006-08-30 |
| 1114928025 | Jerome C Robinson | Internal Medicine | 802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 | 2005-08-02 |
| 1730188095 | Stephen A Cantor | Internal Medicine | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 | 2005-07-19 |
| 1558997742 | Heart Shop, LLC | Internal Medicine | 242 Whipple St, Prescott, AZ 86301-1787 | 2020-03-19 |
| 1548701618 | Scottsdale Heart Health & Wellness Pllc | Internal Medicine | 919 12th Pl, 10, Prescott, AZ 86305-1433 | 2017-03-09 |
| 1609004233 | Yusuf Hassan | Internal Medicine | 726 Gail Gardner Way, Suite A, Prescott, AZ 86305-2314 | 2009-06-22 |
| 1255582003 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-10-09 |
| 1063660025 | Yavapai Regional Medical Center Physician Care | Internal Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2008-09-03 |
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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.