Advanced Cardiac Specialists, Chartered

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED CARDIAC SPECIALISTS, CHARTERED

Practice address

980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611

Phone

(928) 445-4142

Fax

(480) 982-1400

NPI assigned

Mar 28, 2008

Last updated

May 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Fazio

Title

Controller

Phone

(480) 545-1808

Specialties & licenses 3

Addresses

Other names 1

• Advanced Cardiac Specialists Other name

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1376715458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63423",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850823423",
            "telephone_number": "480-892-2800",
            "fax_number": "480-288-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WILLOW CREEK RD",
            "address_2": "SUITE 201",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011611",
            "telephone_number": "928-445-4142",
            "fax_number": "480-982-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC SPECIALISTS, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "480-545-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cardiac Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.