Clinic for Chest Diseases, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

10116 Issued in AZ

Legal business name

CLINIC FOR CHEST DISEASES, PLLC

Practice address

10192 W Coggins Dr
Sun City, AZ 85351-3405

Phone

(623) 974-2434

NPI assigned

Dec 11, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Clinic For Chest Disease Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

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

• Vidya Raman, MD

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1508810326
  NPD

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1073944401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 W COGGINS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513405",
            "telephone_number": "623-974-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR CHEST DISEASES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic For Chest Disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CL Eye Care, PLLC
• Clara P Fajardo DDS PC
• Brenda Clausen
• Ravinder Clayton, MD
• Clinic for Chest Diseases PLLC
• Clinic for Digestive Diseases, PC
• Lucia L Clover, M.D.
• Jaharris Ahmad Collier, MD
• Caitlin Collins, PA-C
• Earle Smith Collum, M.D.

• Non-Pharmacy Dispensing Site in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Non-Pharmacy Dispensing Site in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.