NPIMap

Organization Active NPI

Atlantis Cardiac & Vascular Center of Surprise, LLC

  • Vascular Surgery Physician
  • Surprise, AZ
National Provider Identifier
1255817847
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC
Practice address
12361 W Bola Dr
Surprise, AZ 85378-9021
Phone
(623) 815-5000
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Timothy Cozatt
Title
Coo
Phone
(480) 395-8211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

12361 W Bola Dr
Surprise, AZ 85378-9021

Mailing address

50 E Rio Salado Pkwy
Tempe, AZ 85281-9102
Phone (480) 967-2037

National Provider Directory

National Provider Directory

Locations

50 E Rio Salado Pkwy
Tempe, AZ 85281

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1255817847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E RIO SALADO PKWY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819102",
            "telephone_number": "480-967-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-815-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "COZATT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-395-8211"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.