Integrative Cardiovascular Care PLLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

INTEGRATIVE CARDIOVASCULAR CARE PLLC

Practice address

660 S Main St
Florence, AZ 85132-0022

Phone

(509) 496-4494

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

James Ralph William Kneller, MDNPI 1861641581

Title

Owner

Phone

(509) 496-4494

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Kneller, MD

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
  • NPI 1861641581

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1508679127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 W LAUREL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852334131",
            "telephone_number": "509-496-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851320022",
            "telephone_number": "509-496-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "KNELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RALPH WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-496-4494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Will Andrew Humphreys, P.T.
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• Shiny Job, DNP FNP
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• Caitlin Johnson, SLP

• Clinical Cardiac Electrophysiology Physician in Florence, AZ
• Providers in Florence, AZ by specialty
• Clinical Cardiac Electrophysiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.