Pima Heart Physicians, PC
Organization Active NPI Cardiovascular Disease Physician · Sierra Vista, AZ
NPI 1003081803 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1003081803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- PIMA HEART PHYSICIANS, PC
- Practice address
- 942 E Fry Blvd
Sierra Vista, AZ 85635-2640 - Phone
- (520) 838-3540
- Fax
- (520) 325-3526
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Linda Andrews
- Title
- Regional President
- Phone
- (520) 838-2440
Other NPIs on the same Medicare enrollment 1
Practitioners 128
-
Stephen S Algeo, MD
-
Alyssa Ann Andreis, PA-C
-
Paul E Bejarano, MD
-
Raj K Bose, MD
-
Sherron Sue Cook, PA-C
-
Rajen D Desai, MD
-
Sydni A Dvorak, DNP, NP
-
Donna R Ellis, CRNA
-
Marwan Ghazoul, MD
-
Neil M Gheewala, M.D.
-
Jonathan Harris, FNP
-
Michele Idera, CRNA
-
Kristy Lynn Keating, ANCP-C
-
Rachel Knight, AGACNP
-
Codyjo Kenneth Kraemer, M.D.
-
Kellie Marquis, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000507 | AZ | Part B Supplier - Clinic/Group Practice | 6507751294 |
Receives reassigned benefits from 72 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ; Willcox, AZ; Benson, AZ; Douglas, AZ; Flagstaff, AZ; Green Valley, AZ; Marana, AZ; Nogales, AZ… |
National Provider Directory
Locations
120 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 570-7884
1055 N La Canada Dr
Ste 121
Green Valley, AZ 85614
Phone (520) 547-7770
1850 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 222-6997
1491 W Thatcher Blvd
Ste 103
Safford, AZ 85546
Phone (928) 428-0102
1631 W Ina Rd
Ste 151
Tucson, AZ 85704
Phone (520) 742-1833
9356 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499
4729 E Camp Lowell Dr
Tucson, AZ 85712
3709 N Campbell Ave
Ste 201
Tucson, AZ 85719
445 N Silverbell Rd
Ste 200
Tucson, AZ 85745
Phone (520) 624-8935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Vascular Surgery Physician |
2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X |
Addresses
Primary practice location
942 E Fry Blvd
Sierra Vista, AZ 85635-2640
Mailing address
2404 E River Rd Ste 100
Tucson, AZ 85718-6521
Phone (520) 838-3540
Other practice location 1
555 E River Rd Ste 101
Tucson, AZ 85704-5843
Phone (520) 838-3540
Other names
- Pima Heart & Vascular
Other providers in Sierra Vista, AZ
- Tabetha J Perry
- Angelo A Petropolis
- Stephanie L Pettis
- Gail Phelps
- Stephen D Phillips
- Pima Heart Physicians, PC
- Blaise Pistotnik
- Tina M. Pitts
- Timothy Alan Platt
- Lucie Pohronova
All providers in Sierra Vista, AZ · Cardiovascular Disease Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.