Organization Active NPI

Perfusion Associates, Inc.

  • Perfusionist
  • Tempe, AZ
National Provider Identifier
1497757199
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Legal business name
PERFUSION ASSOCIATES, INC.
Practice address
5801 S McClintock Dr
Suite 110
Tempe, AZ 85283-6002
Phone
(480) 659-6964
Fax
(480) 659-6791
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mr. Mark Christianson, C.C.P.
Title
Office Manager
Phone
(480) 659-6964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PerfusionistGroup: 193400000X SINGLE SPECIALTY GROUP 242T00000X Primary

Addresses

Primary practice location

5801 S McClintock Dr
Suite 110
Tempe, AZ 85283-6002

Mailing address

PO Box 27588
Tempe, AZ 85285-7588
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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1497757199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27588",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857588",
            "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": "5801 S MCCLINTOCK DR",
            "address_2": "SUITE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852836002",
            "telephone_number": "480-659-6964",
            "fax_number": "480-659-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFUSION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-659-6964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.C.P."
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.