Active NPI
Summit Cardiology Center, LLC
- Cardiovascular Disease Physician
- Lakeside, AZ
National Provider Identifier
1316163702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SUMMIT CARDIOLOGY CENTER, LLC
- Practice address
- 316 W White Mountain Blvd
Ste B
Lakeside, AZ 85929-7015 - Phone
- (928) 367-9958
- Fax
- (928) 367-9960
- NPI assigned
- Apr 17, 2007
- Last updated
- Oct 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arun D Sherma, MD
- Title
- Owner
- Phone
- (928) 367-9958
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
316 W White Mountain Blvd
Ste B
Lakeside, AZ 85929-7015
Mailing address
PO Box 3799
Pinetop, AZ 85935-3799
Phone (928) 367-9958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305386 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Lakeside, AZ
- NPI 1780685685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1316163702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3799",
"city": "PINETOP",
"state": "AZ",
"postal_code": "859353799",
"telephone_number": "928-367-9958",
"fax_number": "928-367-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W WHITE MOUNTAIN BLVD",
"address_2": "STE B",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859297015",
"telephone_number": "928-367-9958",
"fax_number": "928-367-9960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT CARDIOLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "SHERMA",
"authorized_official_first_name": "ARUN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-367-9958",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305386",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.