Sun City Cardiac Center, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUN CITY CARDIAC CENTER, INC.

Practice address

10415 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone

(623) 977-0398

Fax

(623) 977-6899

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Guidry

Title

Ceo

Phone

(704) 815-7804

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1063501740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 SIKES PL",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778141",
            "telephone_number": "704-815-7789",
            "fax_number": "888-401-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513004",
            "telephone_number": "623-977-0398",
            "fax_number": "623-977-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY CARDIAC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-815-7804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470000157",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243676",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Sullivan, PT
• Pamela Diane Suma
• Sun Chase Care
• Sun Cities Medical Group
• Sun City Az Endoscopy ASC LLC
• Sun City Care
• Sun City Dental Care
• Sun City Dental PLLC
• Sun City Dialysis Center LLC
• Sun City Electrophysiology, LLC

• Medical Specialty Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.