Active NPI
Cardiology Care of Arizona PC
- Interventional Cardiology Physician
- Mesa, AZ
National Provider Identifier
1407050834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- CARDIOLOGY CARE OF ARIZONA PC
- Practice address
- 6750 E Baywood Ave
Suite 503
Mesa, AZ 85206-1749 - Phone
- (480) 985-1093
- NPI assigned
- Jun 11, 2007
- 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
- David Wilcoxson, MD
- Title
- President
- Phone
- (480) 985-1093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
6750 E Baywood Ave
Suite 503
Mesa, AZ 85206-1749
Mailing address
6750 E Baywood Ave
Suite 503
Mesa, AZ 85206-1749
Phone (480) 985-1093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG7796 | Other | RAIL ROAD MEDICARE | |
| 1407050834 | Other | AZ | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
6750 E Baywood Ave
Ste 503
Mesa, AZ 85206
Phone (480) 543-3030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1407050834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 E BAYWOOD AVE",
"address_2": "SUITE 503",
"city": "MESA",
"state": "AZ",
"postal_code": "852061749",
"telephone_number": "480-985-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 E BAYWOOD AVE",
"address_2": "SUITE 503",
"city": "MESA",
"state": "AZ",
"postal_code": "852061749",
"telephone_number": "480-985-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY CARE OF ARIZONA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "WILCOXSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-985-1093",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DG7796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "1407050834",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Cardinal Healthcare, Inc.
- Cardinal Healthcare, Inc.
- Cardinal Hospice LLC
- Anne Marie Cardinal, CISW
- Cardiojost, PLLC
- Cardiovascular Associates of Mesa P C
- Cardiovascular Associates of Mesa PC
- Cardiovascular Associates of Mesa-Gilbert
- Cardiovascular Associates Surgery and Electrophysiology LLC
- Cardiovascular Institute of Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.