Az Vascular Center #1 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AZ VASCULAR CENTER #1 LLC

Practice address

22505 N 19TH Ave
#101
Phoenix, AZ 85027-2161

Phone

(314) 973-9571

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Karen Strong

Title

Director of Operations

Phone

(314) 973-9571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk D Minkus, M.D.

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1164494746
  NPD

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1265981443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR",
            "address_2": "#106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "314-973-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 N 19TH AVE",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272161",
            "telephone_number": "314-973-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ VASCULAR CENTER #1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "314-973-9571"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.