Organization Active NPI

Western Cardiothoracic Surgeons, PLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1295877090
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERN CARDIOTHORACIC SURGEONS, PLC
Practice address
4222 E Thomas Road
#245
Phoenix, AZ 85018
Phone
(602) 252-2133
Fax
(602) 258-0123
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Mrs. Machelle A Shook
Title
Director of Operations
Phone
(602) 252-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4222 E Thomas Road
#245
Phoenix, AZ 85018

Mailing address

1830 S. Alma School Road
Suite 108
Mesa, AZ 85210
Phone (480) 248-3000

National Provider Directory

National Provider Directory

Locations

1830 S Alma School Rd
Ste 309
Mesa, AZ 85210

4222 E Thomas Rd
Ste 245
Phoenix, AZ 85018
Phone (602) 252-2133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1295877090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-248-3000",
            "fax_number": "480-248-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 E THOMAS ROAD",
            "address_2": "#245",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-252-2133",
            "fax_number": "602-258-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CARDIOTHORACIC SURGEONS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-252-2133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Aug 7, 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.