NPIMap

Organization Active NPI

Associated Thoracic & Cardiovascular Surgeons, LTD

Doing business as Cardiothoracic & Vascular

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1043431760
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24944 Issued in AZ
Legal business name
ASSOCIATED THORACIC & CARDIOVASCULAR SURGEONS, LTD
Doing business as
Cardiothoracic & Vascular
Entebella Medical
Practice address
26224 N Tatum Blvd Ste 11
Phoenix, AZ 85050-7500
Phone
(480) 661-4761
Fax
(480) 661-3990
NPI assigned
May 1, 2007
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. Herman Pang, M.D.,
Title
President
Phone
(480) 661-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 24944 AZ Primary

Addresses

Primary practice location

26224 N Tatum Blvd Ste 11
Phoenix, AZ 85050-7500

Mailing address

PO Box 14390
Scottsdale, AZ 85267-4390
Phone (480) 661-4761

Other identifiers 1

IdentifierTypeStateIssuer
1780688135OtherAZNPPES

Other names 2

  • CARDIOTHORACIC & VASCULAR Doing business as
  • ENTEBELLA MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

13090 N 94th Dr
Ste 202
Peoria, AZ 85381
Phone (480) 661-4761

8415 N Pima Rd
Ste 100
Scottsdale, AZ 85258
Phone (480) 661-4761

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1043431760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14390",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674390",
            "telephone_number": "480-661-4761",
            "fax_number": "480-661-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "480-661-4761",
            "fax_number": "480-661-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED THORACIC & CARDIOVASCULAR SURGEONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-661-4761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780688135",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIOTHORACIC & VASCULAR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARDIOTHORACIC & VASCULAR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENTEBELLA MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.