Desert Cardiovascular Group LTD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

1894 Issued in AZ

Legal business name

DESERT CARDIOVASCULAR GROUP LTD

Practice address

2530 E Wilcox Dr
Sierra Vista, AZ 85635-2843

Phone

(520) 417-0586

Fax

(520) 417-4207

NPI assigned

Sep 4, 2008

Last updated

Nov 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard M Gladding Jr., D.O.NPI 1205867413

Title

Sole Member

Phone

(520) 417-0586

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Richard M Gladding, DO

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1205867413
  Authorized official Same address or phone

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1497903389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352843",
            "telephone_number": "520-417-0586",
            "fax_number": "520-417-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CARDIOVASCULAR GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "GLADDING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "520-417-0586",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Allen Demarco, PT, DPT, MS
• Dennis George Demers, RN
• Rhegan Riane Derfus, IBCLC
• Dermatology and Plastic Surgery of Arizona LLC
• Desert Blossom Midwifery LLC
• Desert Pain and Rehab Specialists, PLLC
• Desert Rehab LLC
• Desert Rose Neurology
• Desert Rose Sober Living
• Desert Sky Spine & Sports Medicine PC

• Cardiovascular Disease Physician in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Nov 17, 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.

Verify at the official NPI Registry.