ADVANCED CARDIAC SPECIALISTS (NPI# 1922275502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922275502 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARDIAC SPECIALISTS |
| Other Organization Name | ADVANCED CARDIAC SPECIALISTS OUTPATIENT TREATMENT CENTER |
| Practice Address |
4838 E Baseline Rd Bldg 2 Ste. 109 Mesa AZ 85206-4671 |
| Mailing Address |
Po Box 63423 Phoenix AZ 85082-3423 |
| Practice Telephone | 4808922800 |
| Practice Fax Number | 4808923258 |
| Mailing Telephone | 4808922800 |
| Mailing Fax Number | 4809821400 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MR. WILLIAM FAZIO (ADMINISTRATOR) |
| Authorized Official Telephone | 4805451808 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OTC4500 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Cardiac Specialists Outpatient Treatment Center | Other Name - Individual/Organization |
| Street Address |
4838 E BASELINE RD BLDG 2 STE. 109 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704266 | Hezekiah Ubochi Chinwah | Internal Medicine | 4838 E Baseline Rd, Bldg. 2 Ste. 110, Mesa, AZ 85206-4671 | 2005-07-19 |
| 1053824631 | Integrated Pain Consultants, LLC | Pain Medicine | 4838 E Baseline Rd, Bldg 2 Suite 109, Mesa, AZ 85206-4671 | 2017-11-06 |
| 1689123960 | Sara Marie Brown | Nurse Anesthetist, Certified Registered | 4838 E Baseline Rd, Ste. 108, Mesa, AZ 85206-4671 | 2016-09-27 |
| 1669805354 | Tabitha C Parent-buck | Audiologist | 4838 E Baseline Rd, Suite 126, Mesa, AZ 85206-4671 | 2013-08-16 |
| 1104167154 | Pierpont Family Medicine | Family Medicine | 4838 E Baseline Rd, Suite 103, Mesa, AZ 85206-4671 | 2013-03-14 |
| 1669716783 | Susan Bazzell, Md, Pllc | Anesthesiology | 4838 E Baseline Rd, Suite 108, Mesa, AZ 85206-4671 | 2012-11-15 |
| 1851656771 | Michael Givens Jr. | Physical Medicine & Rehabilitation | 4838 E Baseline Rd, Bldg 2, Suite 109, Mesa, AZ 85206-4672 | 2012-07-06 |
| 1912208430 | Sarah Derubeis | Nurse Practitioner | 4838 E Baseline Rd, #103, Mesa, AZ 85206-4671 | 2010-11-15 |
| 1851608129 | Cameron Hay Moskos | Physician Assistant | 4838 E Baseline Rd, #103, Mesa, AZ 85206-4671 | 2010-09-08 |
| 1336451707 | Arizona Cardiovascular Associates LLC | Internal Medicine | 4838 E Baseline Rd, Suite 104, Mesa, AZ 85206-4671 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474461 | Cactus Pediatric Orthopaedics, Pllc | Clinic/Center | 1500 S Dobson Rd Ste 200, Mesa, AZ 85202-4724 | 2019-05-31 |
| 1750768446 | Beth Furman, Do, LLC | Clinic/Center | 3035 S Ellsworth, Suite #103, Mesa, AZ 85212 | 2015-05-01 |
| 1053798793 | The Source Naturopathic Medical Clinic | Clinic/Center | 1932 N Mesa Dr Unit 9, Mesa, AZ 85201-1622 | 2015-05-01 |
| 1679973358 | Performance Therapies Plus LLC | Clinic/Center | 2855 E Brown Rd Ste 20, Mesa, AZ 85213-4216 | 2014-08-29 |
| 1750641403 | Banner Health Clinic | Clinic/Center | 1432 S Dobson Rd Ste 402, Mesa, AZ 85202-4777 | 2012-05-29 |
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1790950988 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 5735 E Mckellips Rd, Suite 101, Mesa, AZ 85215-2875 | 2008-04-28 |
| 1942481379 | Clouse Chiropractic Clinic LLC | Clinic/Center | 437 S Gilbert Rd Ste 14, Mesa, AZ 85204-2866 | 2007-11-14 |
| 1467453019 | Advanced Cardiac Specialists, Chartered | Clinic/Center | 515 N Mesa Dr, Ste. 100, Mesa, AZ 85201-5914 | 2005-08-04 |
| 1831737303 | Repower Medical Clinic, LLC | Clinic/Center | 7254 E Southern Ave Ste 113, Mesa, AZ 85209-2787 | 2019-12-16 |
| Find all providers in MESA | ||||
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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.