Individual provider Active NPI

James Gerard Dwyer, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1356458699
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28611 Issued in AZ
Practice address
1848 E Thomas Rd Ste 100
Phoenix, AZ 85016-8103
Phone
(602) 456-2342
Fax
(602) 688-2342
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 28611 AZ
Cardiovascular Disease Physician 207RC0000X 28611 AZ Primary

Addresses

Primary practice location

1848 E Thomas Rd Ste 100
Phoenix, AZ 85016-8103

Mailing address

1848 E Thomas Rd Ste 100
Phoenix, AZ 85016-8103
Phone (602) 456-2342

Other identifiers 1

IdentifierTypeStateIssuer
532483MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000831 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician)Practitioner - Interventional Cardiology 8426961269 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Swarup LLC CurrentSince Jul 1, 2018 Accepting new patients
Swarup LLC Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients
Yrmc Hospice CurrentSince Jun 1, 2016 Accepting new patients
Yavapai Community Hospital Association CurrentSince Jun 1, 2016 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Heartland Cardiology, LLC Cardiovascular Disease Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Verde Valley Heart Center Past Accepting new patients
Verde Valley Heart, LLC Cardiovascular Disease PastSince Oct 1, 2000 Accepting new patients

Locations

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

1848 E Thomas Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 688-2342

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

1958 Commerce Center Cir
Prescott, AZ 86301

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

2852 N Navajo Dr
Ste C
Prescott Valley, AZ 86314

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356458699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 E THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168103",
            "telephone_number": "602-456-2342",
            "fax_number": "602-688-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 E THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168103",
            "telephone_number": "602-456-2342",
            "fax_number": "602-688-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JAMES",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "28611",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "28611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532483",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.