Organization Active NPI

Arizona Cardiovascular Institute Professional Corporation

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1235543737
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ARIZONA CARDIOVASCULAR INSTITUTE PROFESSIONAL CORPORATION
Practice address
20565 N 19TH Ave
Phoenix, AZ 85027-3563
Phone
(866) 307-3876
Fax
(360) 838-1219
NPI assigned
Jun 12, 2014
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Gregg Miller, MDNPI 1942273560
Title
Sr. Vice President
Phone
(610) 644-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

20565 N 19TH Ave
Phoenix, AZ 85027-3563

Mailing address

20565 N 19TH Ave
Phoenix, AZ 85027-3563
Phone (866) 307-3876

National Provider Directory

National Provider Directory

Locations

13620 N Saguaro Blvd
Ste 50
Fountain Hls, AZ 85268
Phone (480) 837-6800

20565 N 19th Ave
Phoenix, AZ 85027
Phone 61064489002831

401 Dr Michael Debakey Dr
Ste 300
Lake Charles, LA 70601
Phone (337) 602-9991

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1235543737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "866-307-3876",
            "fax_number": "360-838-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "866-307-3876",
            "fax_number": "360-838-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR INSTITUTE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "610-644-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "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 Jul 1, 2021; 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.