Active NPI
Thoracic Cardiovascular Associates LTD
- Specialist
- Phoenix, AZ
National Provider Identifier
1437266244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1008
- Legal business name
- THORACIC CARDIOVASCULAR ASSOCIATES LTD
- Practice address
- 16601 N 40TH St Ste 226
Phoenix, AZ 85032-3354 - Phone
- (602) 264-7741
- Fax
- (602) 277-7402
- NPI assigned
- Aug 25, 2006
- 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
- Mr. Clark Benham
- Title
- Business Administrator
- Phone
- (602) 264-7741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1008 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 226
Phoenix, AZ 85032-3354
Mailing address
16601 N 40TH St Ste 226
Phoenix, AZ 85032-3354
Phone (602) 264-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22763801 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16601 N 40th St
Ste 226
Phoenix, AZ 85032
Phone (602) 264-7741
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Phoenix, AZ
- NPI 1831206655
-
- Vascular Surgery Physician
- Beckley, WV
- NPI 1013185172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1437266244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 226",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323354",
"telephone_number": "602-264-7741",
"fax_number": "602-277-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 226",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323354",
"telephone_number": "602-264-7741",
"fax_number": "602-277-7402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORACIC CARDIOVASCULAR ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "BENHAM",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "602-264-7741",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "1008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22763801",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.