Active NPI
Clifton Worsham, MD
- Pediatric Cardiology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 14869
- Practice address
- 5757 W Thunderbird Rd Ste E353
Glendale, AZ 85306-4688 - Phone
- (602) 933-3366
- Fax
- (602) 933-4166
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 14869 | AZ | Primary |
Addresses
Primary practice location
5757 W Thunderbird Rd Ste E353
Glendale, AZ 85306-4688
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Phoenix Children's Hospital | Pediatrics | Current | Accepting new patients |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Obstetrix Medical Group of Phoenix PC | Pediatric Cardiology | Past | Accepting new patients |
| District Medical Group, Inc | Pediatrics | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
1501 N Gilbert Rd
Ste 203
Gilbert, AZ 85234
Phone (602) 833-7320
3370 S Mercy Rd
Ste 221
Gilbert, AZ 85297
6524 W Sack Dr
Ste 240
Glendale, AZ 85308
Phone (602) 933-3363
5757 W Thunderbird Rd
Ste E353
Glendale, AZ 85306
Phone (480) 315-8412
1551 E Tangerine Rd
Ste 141
Oro Valley, AZ 85755
Phone (520) 320-7999
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 443-9580
7505 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (480) 755-1000
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- cworsham245135@ehrdirect.uhhospitals.org
- cworsham18100@direct.valleywisehealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Pediatrics
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1528396108
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
dba Arizona Pediatric Cardiology Consultants
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1346269594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1649203480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W THUNDERBIRD RD STE E353",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064688",
"telephone_number": "602-933-3366",
"fax_number": "602-933-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSHAM",
"first_name": "CLIFTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "AZ",
"license": "14869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.