Organization Active NPI

Southwest Heart Group LLC

  • Specialist
  • Tucson, AZ
National Provider Identifier
1093810707
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0147990 Issued in AZ
Legal business name
SOUTHWEST HEART GROUP LLC
Practice address
6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6152
Phone
(520) 886-3432
Fax
(520) 886-0169
NPI assigned
Sep 14, 2006
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Mrs. Laurie Sluder
Title
Business Offfice Supervisor
Phone
(520) 886-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0147990 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6152

Mailing address

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6152
Phone (520) 886-3432

Other identifiers 1

IdentifierTypeStateIssuer
DG1989OtherAZRR MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1093810707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEART GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "SLUDER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "BUSINESS OFFFICE SUPERVISOR",
        "authorized_official_telephone_number": "520-886-3432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "0147990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG1989",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.