ARIZONA HEART INSTITUTE SCW


Address: 13967 W Grand Ave, Suite 100, Surprise, AZ 85374-3548
Phone: 6235840052

ARIZONA HEART INSTITUTE SCW (NPI# 1881895498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881895498
Entity Type Organization
Organization Name ARIZONA HEART INSTITUTE SCW
Practice Address 13967 W Grand Ave
Suite 100
Surprise
AZ 85374-3548
Mailing Address Po Box 61773
Phoenix
AZ 85082-1773
Practice Telephone 6235840052
Practice Fax Number 6235843706
Mailing Telephone 6026826727
Mailing Fax Number 6022406177
Enumeration Date 2007-05-30
Last Update Date 2008-10-22
Authorized Official Name EDWARD DIETHRICH (MEDICAL DIRECTOR)
Authorized Official Telephone 6022662200
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name ARIZONA HEART INSTITUTE LTD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians
N 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
Allopathic & Osteopathic Physicians
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Office Location

Street Address 13967 W GRAND AVE
SUITE 100
City SURPRISE
State AZ
Zip Code 85374-3548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639624075 Max Mangabat Physical Therapist 13967 W Grand Ave, Suite C-100, Surprise, AZ 85374-3732 2016-08-15
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1780900894 Douglas Scott Zavos Audiologist-Hearing Aid Fitter 13967 W Grand Ave, #105, Surprise, AZ 85374-3732 2010-04-14

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1275005308 Filsan Ali Nurse Practitioner 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 2018-12-31
1427528686 Anna L Bell Nurse Practitioner 14811 W Bell Rd Ste 100, Surprise, AZ 85374 2018-11-30
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982961561 Rohit K Patel Md Pllc Internal Medicine 18715 N Reems Rd, Suite 140, Surprise, AZ 85374-8643 2012-04-19
1104984491 Kishlay Anand Internal Medicine 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 2006-12-05
1295781029 Andy T Tran Internal Medicine 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 2006-05-25
1801865415 Nirav J Mehta Internal Medicine 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 2006-03-16

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NPI Name Taxonomy Address Enumeration
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1073131561 Ponderosa Heart House Call Internal Medicine 115 S Alto St Ste 3, Prescott, AZ 86303-3603 2020-07-10
1710504667 Honorhealth Ambulatory Internal Medicine 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 2020-06-26
1174149132 Honorhealth Ambulatory Internal Medicine 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 2020-06-24
1427523471 Dr. David Wilcoxson and Associates, LLC Internal Medicine 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 2018-10-05
1407343841 Imran Ata Md Pllc Internal Medicine 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 2018-04-20
1245733716 Argento Medical Group LLC Internal Medicine 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 2018-03-12
1508235730 Joseph Parraz Internal Medicine 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 2015-09-17
1265809628 Scottsdale Heart & Vascular Associates LLC Internal Medicine 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 2015-09-01
1326438276 Healthfinity, Pllc Internal Medicine 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 2015-01-30
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Competitor

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City SURPRISE
Zip Code 85374

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Dataset Information

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.

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