ADVANCED HEART AND VASCULAR INSTITUDE (NPI# 1811120827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811120827 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEART AND VASCULAR INSTITUDE |
| Other Organization Name | ADVANCED HEART AND VASCULAR INSTITUDE |
| Practice Address |
1331 N 7th St 190 Phoenix AZ 85006-2754 |
| Mailing Address |
Po Box 80680 190 Phoenix AZ 85060-0680 |
| Practice Telephone | 6025076002 |
| Practice Fax Number | 6025074339 |
| Mailing Telephone | 6025076002 |
| Mailing Fax Number | 6025074339 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | DR. MANSOUR ASSAR (CEO) |
| Authorized Official Telephone | 6025076002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
34004 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Heart and Vascular Institude | Doing Business As Name - Organization |
| Street Address |
1331 N 7TH ST 190 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748851 | Kevin S. Ladin | Physical Medicine & Rehabilitation | 1331 N 7th St, Ste 360, Phoenix, AZ 85006-2772 | 2005-05-27 |
| 1811423262 | Heather Anne Fett | Nurse Practitioner | 1331 N 7th St, Suite 405, Phoenix, AZ 85006-2754 | 2017-05-04 |
| 1760838684 | Elisabeth Mancha | Nurse Practitioner | 1331 N 7th St, Suite 400, Phoenix, AZ 85006-2754 | 2016-05-10 |
| 1255792354 | Sophia Y Weis | Nurse Practitioner | 1331 N 7th St, Ste 275, Phoenix, AZ 85006-2754 | 2016-03-16 |
| 1427432939 | Kim E Krmpotic | Clinical Nurse Specialist | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2754 | 2015-07-14 |
| 1588041156 | Barbara Marie Wysocki | Registered Nurse | 1331 N 7th St, Phoenix, AZ 85006-2754 | 2015-05-02 |
| 1285039891 | Jessica Vo | Physician Assistant | 1331 N 7th St, Suite 275, Phoenix, AZ 85006-2754 | 2014-10-24 |
| 1447692793 | Dejana Grk | Optometrist | 1331 N 7th St, Phoenix, AZ 85006 | 2013-07-26 |
| 1922359637 | Smi Imaging, LLC | Radiology | 1331 N 7th St, Suite 150, Phoenix, AZ 85006-2754 | 2012-09-21 |
| 1649581620 | Claire Julia Kelley | Nurse Practitioner | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2707 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1972113546 | Phoenician Cardiac Care LLC | Internal Medicine | 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 | 2020-08-07 |
| 1184122434 | Coordinated Health of Az, LLC | Internal Medicine | 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 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 |
| 1710279625 | Shivani Shodhan | Internal Medicine | 9100 N 2nd St Ste 321, Phoenix, AZ 85020-2459 | 2011-05-11 |
| 1447576566 | Sheena Amy Prakash | Internal Medicine | 3815 E Bell Rd Ste 3400, Phoenix, AZ 85032 | 2010-04-14 |
| 1316186679 | Advanced Heart & Vascular Institute | Internal Medicine | 1331 N 7th St Ste 190, Phoenix, AZ 85006-2701 | 2009-02-10 |
| 1679727531 | Advanced Cardiology Diagnostic Centers LLC | Internal Medicine | 2401 W Glendale Ave, Suite 208, Phoenix, AZ 85021-7677 | 2008-11-05 |
| 1972794659 | Rishi Kirit Patel | Internal Medicine | 6036 N 19th Ave Ste 506, Phoenix, AZ 85015-2143 | 2007-08-07 |
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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.