Southwest Ep Clinic

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

32962 Issued in AZ

Legal business name

SOUTHWEST EP CLINIC

Practice address

2730 S Val Vista Dr
BLDG 9, Suite 152
Gilbert, AZ 85295-1675

Phone

(602) 309-1515

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Drory S Tendler, MDNPI 1679576177

Title

President

Phone

(602) 309-1515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Ep Clinic

  • Clinical Cardiac Electrophysiology Physician
  • Casa Grande, AZ
  • NPI 1023332251

  O20091117000272

  Same enrollment

Locations

Practitioners 2

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

• Drory S Tendler, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Chandler, AZ
  • NPI 1679576177
  Medicare reassignment NPD Authorized official
• Huy M Phan, M.D., PH.D.

  • Clinical Cardiac Electrophysiology Physician
  • Chandler, AZ
  • NPI 1447368840
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1326374190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 N TATUM BLVD",
            "address_2": "SUITE 110, BOX 164",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504270",
            "telephone_number": "602-309-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "BLDG 9, SUITE 152",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "602-309-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "TENDLER",
        "authorized_official_first_name": "DRORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-309-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "32962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Pediatrics
• Southwest Anesthesia Services LLC (Southwest Anesthesia Services)
• Southwest Dietitian Group LLC (Southwest Dietitian Group)
• Southwest Endoscopy & Surgicenter LLC
• Southwest Endoscopy LLC
• Southwest Financial Strategies, LLC
• Southwest Kidney Davita Dialysis Partners LLC (Gilbert Dialysis Center)
• Southwest Kidney Dialysis, LLC
• Southwest Skin Laboratory PLLC
• Southwest Smiles, LLC

• Clinical Cardiac Electrophysiology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Cardiac Electrophysiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.