VHS Arizona Heart Institute Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

VHS ARIZONA HEART INSTITUTE INC

Practice address

708 S. Coeur D'Alene Drive
Suite B, Lower Level
Payson, AZ 85541-5662

Phone

(928) 474-2175

Fax

(928) 474-9424

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Shalen Young

Title

Cfo

Phone

(623) 561-7728

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• VHS of Phoenix Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1477537363

  Member Of

  NPD member

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1497060966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD",
            "address_2": "ATTN: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156197",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S. COEUR D'ALENE DRIVE",
            "address_2": "SUITE B, LOWER LEVEL",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415662",
            "telephone_number": "928-474-2175",
            "fax_number": "928-474-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS ARIZONA HEART INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHALEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "623-561-7728"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerilyn Kay Trulove, PA-C
• Chika Ugorji, M.D.
• James Edward Vandruff, DO
• John Vandruff, MD
• Timothy Rolf Veenstra, M.D.
• Lynne A Vigil, N.P.
• Lauren Marie Vlahopoulos
• Darrell D Wadas, MD
• Kristin Melissa Wade, D.M.D.
• Frank Edward Waechter III, MD

• Cardiovascular Disease Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.