Advanced Pediatric Cardiology, PLLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

34597 Issued in AZ

Legal business name

ADVANCED PEDIATRIC CARDIOLOGY, PLLC

Practice address

936 W Chandler Blvd
Suite 2
Chandler, AZ 85225-2531

Phone

(480) 855-1339

Fax

(480) 857-0313

NPI assigned

Apr 27, 2011

Last updated

Oct 29, 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

Shabib A Alhadheri, MDNPI 1124079546

Title

MD

Phone

(480) 855-1339

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.

• Shabib A Alhadheri, MD

  • Pediatric Cardiology Physician
  • Chandler, AZ
  • NPI 1124079546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1134410913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7270",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467270",
            "telephone_number": "480-855-1339",
            "fax_number": "480-857-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W CHANDLER BLVD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252531",
            "telephone_number": "480-855-1339",
            "fax_number": "480-857-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ALHADHERI",
        "authorized_official_first_name": "SHABIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "480-855-1339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "34597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Chandler, AZ
• Providers in Chandler, 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 Oct 29, 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.