Active NPI
Ahi Cardiovascular Surgeons LTD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
National Provider Identifier
1144482886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- AHI CARDIOVASCULAR SURGEONS LTD
- Practice address
- 2632 N 20TH St
Phoenix, AZ 85006-1339 - Phone
- (602) 266-2200
- Fax
- (602) 240-6177
- NPI assigned
- Jun 25, 2008
- Last updated
- Jun 21, 2018
- Organization subpart
- Yes
- Parent organization
- ARIZONA HEART INSTITUTE LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward B. Diethrich, MD
- Title
- Medical Director
- Phone
- (602) 266-2200
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Surgical Physician Assistant | 363AS0400X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | NU | ||
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | ||
| Surgery Physician | 208600000X | NU | ||
| Vascular Surgery Physician | 2086S0129X | NU | ||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | NU | Primary |
Addresses
Primary practice location
2632 N 20TH St
Phoenix, AZ 85006-1339
Mailing address
PO Box 52596
Phoenix, AZ 85072-2596
Phone (602) 266-2200
National Provider Directory
National Provider Directory- Part of
- Ariz Heart Inst LTD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1144482886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52596",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850722596",
"telephone_number": "602-266-2200",
"fax_number": "602-240-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 N 20TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061339",
"telephone_number": "602-266-2200",
"fax_number": "602-240-6177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHI CARDIOVASCULAR SURGEONS LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARIZONA HEART INSTITUTE LTD",
"enumeration_date": "2008-06-25",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "DIETHRICH",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "602-266-2200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NU",
"license": null,
"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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.