Cardiac Kids, PLLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

25161 Issued in AZ

Legal business name

CARDIAC KIDS, PLLC

Practice address

1330 N Rim Dr
Suite a
Flagstaff, AZ 86001-3134

Phone

(928) 779-7014

Fax

(928) 779-3493

NPI assigned

Mar 29, 2012

Last updated

Aug 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey P Rockow, MDNPI 1982603494

Title

Ceo

Phone

(928) 779-7014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Jeffrey P Rockow, M.D.

  • Pediatric Cardiology Physician
  • Flagstaff, AZ
  • NPI 1982603494
  Authorized official Same address or phone

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1124394556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N RIM DR",
            "address_2": "SUITE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013134",
            "telephone_number": "928-779-7014",
            "fax_number": "928-779-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N RIM DR",
            "address_2": "SUITE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013134",
            "telephone_number": "928-779-7014",
            "fax_number": "928-779-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "ROCKOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-779-7014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "25161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Canterbury, DPT
• Laurel Caplan
• Ann Capulin-Thayer, LPC
• Laura Marie Carbone, O.D.
• Cardiac & Peripheral Vascular Specials of Northern Arizona
• Michelle L Cardon, RN
• Careforward Home Care Az LLC
• Benjamin Carlos Jr., PT, DPT
• Emily Elizabeth Carlson
• Melissa Louise Carone, NP-C

• Pediatric Cardiology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pediatric Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.