CARDIAC CIN OF TUCSON LLC


Address: 5151 E Broadway Blvd Ste 1600a, Tucson, AZ 85711-3777
Phone: 6153860064

CARDIAC CIN OF TUCSON LLC (NPI# 1912405796) 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) 1912405796
Entity Type Organization
Organization Name CARDIAC CIN OF TUCSON LLC
Practice Address 5151 E Broadway Blvd Ste 1600a
Tucson
AZ 85711-3777
Mailing Address 102 Woodmont Blvd Ste 350
Nashville
TN 37205-2216
Practice Telephone 6153860064
Practice Fax Number 6153860067
Mailing Telephone 6153860064
Mailing Fax Number 6153860067
Enumeration Date 2018-01-26
Last Update Date 2020-02-13
Authorized Official Name EDWARD LELAND HUTTON EADIE (DIRECTOR)
Authorized Official Telephone 6157332064
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
AZ Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 5151 E BROADWAY BLVD STE 1600A
City TUCSON
State AZ
Zip Code 85711-3777

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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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
1407343841 Imran Ata Md Pllc Internal Medicine 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 2018-04-20
1235577636 Jennifer Juxiang Huang-tsang Internal Medicine 5170 E Glenn St Ste 130&160, Tucson, AZ 85712-1396 2013-06-06
1154663144 James Eugene Dalen Internal Medicine 5305 N Via Velazquez, Tucson, AZ 85750-5989 2013-03-18
1821369919 Roger Brian Johnson Internal Medicine 7595 E Placita Vista Del Bosque, Tucson, AZ 85715-3651 2012-01-20
1922313774 Tushar Acharya Internal Medicine 1501 N Campbell Ave Rm 5153, Tucson, AZ 85724-0001 2010-08-17
1144549510 Mark Ira Feldman, M.d. P.C. Internal Medicine 3801 N Campbell Ave Ste C, Tucson, AZ 85719-1448 2010-05-25
1114140738 Arizona Cardiovascular Specialists, P.C. Internal Medicine 1601 N Swan Rd, Tucson, AZ 85712-4046 2007-04-11
1578574232 Mohammad Reza Movahed Shariat Panahi Internal Medicine 6119 N Pinchot Rd, Tucson, AZ 85750-1297 2006-08-10
1275548000 Goldberg Medical Services Inc Internal Medicine 3130 N Swan Rd, Tucson, AZ 85712-1227 2006-07-30
1427079987 Timothy M Marshall Internal Medicine 5170 E Glenn St, Bldg 2, Ste. 160, Tucson, AZ 85712-1337 2006-07-21
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Competitor

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City TUCSON
Zip Code 85711

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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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