Western Arizona Cardiovascular Surgery PLLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

32875 Issued in AZ

Legal business name

WESTERN ARIZONA CARDIOVASCULAR SURGERY PLLC

Practice address

1851 Mesquite Ave
Suite 202
Lake Havasu City, AZ 86403-5677

Phone

(928) 854-0090

Fax

(928) 453-0671

NPI assigned

May 26, 2009

Last updated

Aug 31, 2011By 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

Dr. Christopher C Kwon, M.D.

Title

Physician/Owner

Phone

(928) 854-0090

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1427283092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD",
            "address_2": "SUITE 800",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "480-596-8525",
            "fax_number": "490-596-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-854-0090",
            "fax_number": "928-453-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ARIZONA CARDIOVASCULAR SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "928-854-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "32875",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "32875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Weisz, APRN
• Alyssa Wells
• Welltower Tenant Group LLC (Lake View Terrace Memory CAre)
• Thomas Wennergren, PHARMD
• Lindsey Werbiskis
• Western Arizona Foot & Ankle
• Western Regional Neurology, LLC
• Matthew James Wetzel
• Kristy M Whelan, DO
• Thomas Stampfer White

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.