Hosstrup, PLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

41460 Issued in AZ

Legal business name

HOSSTRUP, PLC

Doing business as

AZ Vascular & Thoracic Solutions

Practice address

6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781

Phone

(623) 512-4326

Fax

(623) 584-6732

NPI assigned

Aug 26, 2013

Last updated

Sep 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandrahas B Patel, MDNPI 1770799660

Title

Managing Partner

Phone

(623) 512-4326

Specialties & licenses 1

Addresses

Other names 1

• AZ Vascular & Thoracic Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandrahas B. Patel, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Glendale, AZ
  • NPI 1770799660
  Medicare reassignment NPD Authorized official
• Lannery Sioeli Lauvao, MD

  • Vascular Surgery Physician
  • Glendale, AZ
  • NPI 1124242029
  Medicare reassignment NPD

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1033543186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "623-512-4326",
            "fax_number": "623-584-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "623-512-4326",
            "fax_number": "623-584-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSTRUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDRAHAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "623-512-4326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "41460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Vascular & Thoracic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.