Organization Active NPI

Cardiac & Thoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1104859180
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
12521 Issued in AZ
Legal business name
CARDIAC & THORACIC SURGERY
Practice address
5333 N 7TH St
Suite B219
Phoenix, AZ 85014-2821
Phone
(602) 266-5100
Fax
(602) 266-7100
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Adalberto Castro Gonzalez, M.D.
Title
President
Phone
(602) 266-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 12521 AZ Primary

Addresses

Primary practice location

5333 N 7TH St
Suite B219
Phoenix, AZ 85014-2821

Mailing address

3219 E Camelback Rd
#833
Phoenix, AZ 85018-2307
Phone (602) 266-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1104859180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD",
            "address_2": "#833",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "602-266-5100",
            "fax_number": "602-266-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N 7TH ST",
            "address_2": "SUITE B219",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142821",
            "telephone_number": "602-266-5100",
            "fax_number": "602-266-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_middle_name": "CASTRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-266-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.