NPIMap

Organization Active NPI

Northwest Cardiovascular and Thoracic Surgeons PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sun City, AZ
National Provider Identifier
1336159185
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
NORTHWEST CARDIOVASCULAR AND THORACIC SURGEONS PLLC
Practice address
13188 N 103Rd Dr Ste 200
Sun City, AZ 85351-3066
Phone
(623) 875-6001
Fax
(623) 875-8761
NPI assigned
Aug 8, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Bonnie J Van de Water
Title
Office Manager
Phone
(623) 875-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary

Addresses

Primary practice location

13188 N 103Rd Dr Ste 200
Sun City, AZ 85351-3066

Mailing address

13188 N 103Rd Dr Ste 200
Sun City, AZ 85351-3066
Phone (623) 875-6001

National Provider Directory

National Provider Directory

Locations

13634 N 93rd Ave
#10
Peoria, AZ 85381
Phone (623) 875-6001

111 E Dunlap Ave
Ste 1475
Phoenix, AZ 85020
Phone (602) 944-0202

13188 N 103rd Dr
Ste 200
Sun City, AZ 85351
Phone (623) 832-3444

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1336159185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13188 N 103RD DR STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513066",
            "telephone_number": "623-875-6001",
            "fax_number": "623-875-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13188 N 103RD DR STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513066",
            "telephone_number": "623-875-6001",
            "fax_number": "623-875-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CARDIOVASCULAR AND THORACIC SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "VAN DE WATER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-875-6001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.