NPIMap

Organization Active NPI

Northern Arizona Heart Center

  • Interventional Cardiology Physician
  • Show Low, AZ
National Provider Identifier
1083685200
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NORTHERN ARIZONA HEART CENTER
Practice address
5171 Cub Lake Rd
Suite C350
Show Low, AZ 85901-7888
Phone
(928) 532-1970
Fax
(928) 532-1969
NPI assigned
Jan 27, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Lynda Lange
Title
Npi
Phone
(928) 532-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

5171 Cub Lake Rd
Suite C350
Show Low, AZ 85901-7888

Mailing address

PO Box 1360
Show Low, AZ 85902-1360
Phone (928) 532-1970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1083685200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859021360",
            "telephone_number": "928-532-1970",
            "fax_number": "928-532-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C350",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017888",
            "telephone_number": "928-532-1970",
            "fax_number": "928-532-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA HEART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "NPI",
        "authorized_official_telephone_number": "928-532-1970"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.