Organization Active NPI

Advanced Cardiac Specialists, Chartered

  • Cardiovascular Disease Physician
  • Apache Junction, AZ
National Provider Identifier
1194997205
Registry record updated Dec 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2013

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.