Active NPI
Arizona Heart Institute LTD Prescott
- Cardiovascular Disease Physician
- Prescott, AZ
National Provider Identifier
1467653048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ARIZONA HEART INSTITUTE LTD PRESCOTT
- Practice address
- 802 Ainsworth Dr
Suite a
Prescott, AZ 86301-1623 - Phone
- (928) 445-6025
- Fax
- (602) 240-6177
- NPI assigned
- May 30, 2007
- Last updated
- Apr 20, 2008
- Organization subpart
- Yes
- Parent organization
- ARIZONA HEART INSTITUTE LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ken Walsh
- Title
- Chief Financial Officer
- Phone
- (602) 266-2200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary | |
| Nuclear Cardiology Physician | 207UN0901X | NU |
Addresses
Primary practice location
802 Ainsworth Dr
Suite a
Prescott, AZ 86301-1623
Mailing address
PO Box 61773
Phoenix, AZ 85082-1773
Phone (602) 687-6701
National Provider Directory
National Provider Directory- Part of
- Ariz Heart Inst LTD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1467653048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61773",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850821773",
"telephone_number": "602-687-6701",
"fax_number": "602-240-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 AINSWORTH DR",
"address_2": "SUITE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011623",
"telephone_number": "928-445-6025",
"fax_number": "602-240-6177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA HEART INSTITUTE LTD PRESCOTT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARIZONA HEART INSTITUTE LTD",
"enumeration_date": "2007-05-30",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "602-266-2200"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Arizona Grand Medical Center PLLC (Arizona Grand Medical Center- Crossings 2)
- Arizona Grand Medical Center, PLLC
- Arizona Hand and Physical Rehab LLC
- Arizona Hand and Physical Rehab LLC
- Arizona Healthcare Freedom, PLLC
- Arizona Institute of Eye Surgery LLC (Prescott Vision & Eye Surgery Center)
- Arizona Institute of Eye Surgery LLC (Prescott Vision & Eye Surgery Center)
- Arizona Medical Eqiupment and Supply LLC
- Arizona Medical Equipment & Supply LLC
- Arizona Orthopedic Physical Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.