Active NPI
Advanced Cardiac Specialists, Chartered
- Cardiovascular Disease Physician
- Apache Junction, AZ
National Provider Identifier
1194997205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ADVANCED CARDIAC SPECIALISTS, CHARTERED
- Practice address
- 1690 W Southern Ave
Apache Junction, AZ 85120-7651 - Phone
- (480) 982-2800
- Fax
- (480) 982-1400
- NPI assigned
- Mar 28, 2008
- Last updated
- Dec 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Fazio
- Title
- Controller
- Phone
- (480) 545-1808
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AZ | ||
| Adult Health Nurse Practitioner | 363LA2200X | AZ | ||
| Internal Medicine Physician | 207R00000X | AZ | ||
| Cardiovascular Disease Physician | 207RC0000X | AZ | Primary | |
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Nuclear Cardiology Physician | 207UN0901X | AZ | ||
| Surgery Physician | 208600000X | AZ | ||
| Vascular Surgery Physician | 2086S0129X | AZ | ||
| Urology Physician | 208800000X | AZ |
Addresses
Primary practice location
1690 W Southern Ave
Apache Junction, AZ 85120-7651
Mailing address
PO Box 63423
Phoenix, AZ 85082-3423
Phone (480) 892-2800
Other names 1
- Advanced Cardiac Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385856000000",
"number": "1194997205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63423",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850823423",
"telephone_number": "480-892-2800",
"fax_number": "480-982-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 W SOUTHERN AVE",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851207651",
"telephone_number": "480-982-2800",
"fax_number": "480-982-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARDIAC SPECIALISTS, CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2013-12-01",
"status": "A",
"authorized_official_last_name": "FAZIO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "480-545-1808",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Cardiac Specialists",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.