NPIMap

Organization Active NPI

Perfusion Associates

  • Perfusionist
  • Mesa, AZ
National Provider Identifier
1447627401
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Legal business name
PERFUSION ASSOCIATES
Practice address
2753 E Broadway Rd # 101-454
Mesa, AZ 85204-1579
Phone
(480) 659-6964
Fax
(480) 659-6791
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Mr. David Bruce Wu, CCPNPI 1144246240
Title
Owner /Perfusionist
Phone
(480) 659-6964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X NU Primary

Addresses

Primary practice location

2753 E Broadway Rd # 101-454
Mesa, AZ 85204-1579

Mailing address

2753 E Broadway Rd # 101-454
Mesa, AZ 85204-1579
Phone (480) 659-6964

National Provider Directory

National Provider Directory
Tax ID family
Perfusion Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1447627401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 E BROADWAY RD # 101-454",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041579",
            "telephone_number": "480-659-6964",
            "fax_number": "480-659-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 E BROADWAY RD # 101-454",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041579",
            "telephone_number": "480-659-6964",
            "fax_number": "480-659-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFUSION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER /PERFUSIONIST",
        "authorized_official_telephone_number": "480-659-6964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.