Cardiac and Vascular Associates LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIAC AND VASCULAR ASSOCIATES LLC

Practice address

1851 Mesquite Ave
Suite 202
Lake Havasu City, AZ 86403-5677

Phone

(928) 855-5090

Fax

(928) 855-9227

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Melvyn V Mahon, M.D.NPI 1558372854

Title

Member

Phone

(803) 730-6790

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Melvyn Vanroy Mahon, MD FACC

  • Interventional Cardiology Physician
  • Tulsa, OK
  • NPI 1558372854
  NPD (past) Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1104152768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236009",
            "telephone_number": "803-730-6790",
            "fax_number": "803-736-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-855-5090",
            "fax_number": "928-855-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND VASCULAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-730-6790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "L1560391-7",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Lundin Dentist LLC
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• Carol A Capozzi, ARNP
• Kristin Lee Carbone-Kebble
• Cardiovascular and Thoracic Solutions PLLC
• Caring Corners, Inc.
• Caring Hearts Assistant Services, LLC
• Jeffrey Jay Carls, MD
• Julia E. Carlson, D.D.S.

• Cardiovascular Disease Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.