Heart Institute of Northern Arizona LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OTC710 Issued in AZ

Legal business name

HEART INSTITUTE OF NORTHERN ARIZONA LLC

Practice address

1753 Airway Ave
Suite B
Kingman, AZ 86409-3720

Phone

(928) 692-6200

Fax

(928) 692-9474

NPI assigned

Apr 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. A Paul Kalanithi, M.D.

Title

Medical Director

Phone

(928) 757-4359

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arulasanam Paul Kalanithi, MD

  • Specialist
  • Kingman, AZ
  • NPI 1518943281
  NPD (past)
• Shantha Kumar, M.D.

  • Cardiovascular Disease Physician
  • Apache Junction, AZ
  • NPI 1396768958
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1013189893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 AIRWAY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093720",
            "telephone_number": "928-692-6200",
            "fax_number": "928-692-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 AIRWAY AVE",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093720",
            "telephone_number": "928-692-6200",
            "fax_number": "928-692-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART INSTITUTE OF NORTHERN ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "KALANITHI",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-757-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OTC710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "P0203870",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197211",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470000205",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Brit Haws, PT, DPT
• Patricia D Haydon, D.C.
• Joseph Haydu, M.D.
• Susan M Haynes
• Healthcare Management Professional, Inc. (The Gardens Rehab & Care Center)
• Heart Institute of Northern Arizona LLC
• Margot D Henderson, P.A.-C.
• Shirley Kathryn Henderson, LICENSED COUNSELOR
• Tawni Hendriks, FDN-P
• Maikel Hernandez Diaz, PA-C

• Ambulatory Surgical Clinic/Center in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.