ARIZONA HEART INSTITUTE LTD (NPI# 1114999604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114999604 |
| Entity Type | Organization |
| Organization Name | ARIZONA HEART INSTITUTE LTD |
| Practice Address |
2632 N 20th St Phoenix AZ 85006-1339 |
| Mailing Address |
Po Box 61773 Phoenix AZ 85082-1773 |
| Practice Telephone | 6022662200 |
| Practice Fax Number | 6022406177 |
| Mailing Telephone | 6022662200 |
| Mailing Fax Number | 6022406177 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | EDWARD B DIETHRICH (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6022662200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| 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 | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972648087 | Arizona Heart Institute Ltd | Specialist | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-02-20 |
| 1194879296 | Arizona Heart Institute Ltd | Clinic/Center | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-01-23 |
| Street Address |
2632 N 20TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938147 | Rajagopalan Ravi | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2005-08-02 |
| 1083043210 | Joei Johns | Physician Assistant | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2013-11-07 |
| 1659685782 | Vhs Arizona Heart Institute Inc | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2010-07-30 |
| 1093966194 | Hussein Dawod Jabr | Specialist/Technologist, Other | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-10-07 |
| 1457508723 | Ahi Cardiovascular Surgeons Ltd | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-08-19 |
| 1144482886 | Ahi Cardiovascular Surgeons Ltd | Radiology | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-06-25 |
| 1952423311 | Michael Ipo Chow | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-04-05 |
| 1316067549 | Carole Jane Klein | Counselor | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-03-30 |
| 1972648087 | Arizona Heart Institute Ltd | Specialist | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-02-20 |
| 1194879296 | Arizona Heart Institute Ltd | Clinic/Center | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-01-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1144468596 | Howard Jay Reuben | Internal Medicine | 505 W Mcdowell Rd Ste A, Phoenix, AZ 85003-1259 | 2009-01-22 |
| 1780821546 | Khawaja Consulting, P.C. | Internal Medicine | 1818 W Calle Escuda, Phoenix, AZ 85085-8022 | 2009-01-15 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1356550016 | Herbert R. Kahn | Internal Medicine | 1300 N 12th St Ste 510, Phoenix, AZ 85006-2849 | 2007-05-21 |
| 1205055407 | James Daniel D'antonio | Internal Medicine | 5133 N Central Ave Ste 100, Phoenix, AZ 85012-1438 | 2007-04-25 |
| 1619096765 | Darrell Dean Smith | Internal Medicine | 5456 E Lafayette Blvd, Phoenix, AZ 85018-4522 | 2007-03-28 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on ARIZONA HEART INSTITUTE LTD.
| 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.