PHOENIX HEART, PLLC (NPI# 1679608095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679608095 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEART, PLLC |
| Practice Address |
5859 W Talavi Blvd Ste 100 Glendale AZ 85306-1870 |
| Mailing Address |
5859 W. Talavi Blvd. Suite 100 Glendale AZ 85306-1870 |
| Practice Telephone | 6022987777 |
| Practice Fax Number | 6239306060 |
| Mailing Telephone | 6022987777 |
| Mailing Fax Number | 6239306060 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | ELYSABETH MUNHALL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6022987777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 275622 | 05 | |
| AZ | MEDICARE PTAN | Z212189 | 01 |
| AZ | MEDICARE PTAN | Z27785 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 N Litchfield Rd, Ste 104, Goodyear, AZ 853381277 | 6022987777 | 6239306060 |
| 19251 E Oasis Dr, Black Canyon City, AZ 853248878 | 6022987777 | 6239306060 |
| 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 853829749 | 6022987777 | 6239306060 |
| 41818 N Venture Dr Ste 110, Anthem, AZ 850863189 | 6022987777 | 6239306060 |
| 525 S Watson Rd Ste 205, Buckeye, AZ 853263451 | 6022987777 | 6239306060 |
| Street Address |
5859 W TALAVI BLVD STE 100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170764 | Amarnauth Singh | Internal Medicine | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870 | 2005-08-10 |
| 1972100097 | Deanna Kraemer | Nurse Practitioner | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870 | 2020-10-01 |
| 1609111426 | Shawna M Muchow | Nurse Practitioner | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870 | 2012-12-05 |
| 1235465311 | Viet Tran | Internal Medicine | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870 | 2009-10-26 |
| 1316926579 | Punit S Parasher | Internal Medicine | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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 |
|---|---|---|---|---|
| 1962967059 | Adventist Health Physicians Network | Internal Medicine | 1808 Verdugo Blvd Ste 414, Glendale, CA 91208-1474 | 2019-02-04 |
| 1972030427 | Advanced Medical & Surgical Ventures, Inc. | Internal Medicine | 217 S Glendale Ave, Glendale, CA 91205-1713 | 2017-05-15 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| 1336411503 | Santo Salvatore Polito | Internal Medicine | 3255 Beaudry Ter, Glendale, CA 91208-1700 | 2012-02-03 |
| 1457504029 | Daniel Aram Daneshvar | Internal Medicine | 1510 S Central Ave Ste 150, Glendale, CA 91204-2541 | 2008-10-28 |
| 1760678049 | Jigar Anilkumar Patel | Internal Medicine | 18700 N 64th Dr Ste 101, Glendale, AZ 85308-7110 | 2007-09-19 |
| 1003009861 | Moustafa Banna | Internal Medicine | 5859 W. Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-08-23 |
| 1629270731 | Dipak Jana | Internal Medicine | 5422 W Thunderbird Rd Ste 8, Glendale, AZ 85306-4717 | 2007-06-01 |
| 1316156797 | Hossein Dehghani | Internal Medicine | 1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206-4154 | 2007-05-22 |
| 1265644140 | Anthony B Alvaro | Internal Medicine | 1134 Orange Grove Ave, Glendale, CA 91205-1334 | 2007-05-04 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on PHOENIX HEART, PLLC.
| 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.