Havasu Cardiac Surgery PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

HAVASU CARDIAC SURGERY PC

Practice address

101 Civic Center LN
Attn: Havasu Cardiac Surgery
Lake Havasu City, AZ 86403-5607

Phone

(928) 854-0090

Fax

(928) 453-0671

NPI assigned

Jul 2, 2006

Last updated

Mar 10, 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

Pierre R Tibi, MDNPI 1811926660

Title

Owner

Phone

(602) 253-9168

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Pierre R Tibi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Prescott, AZ
  • NPI 1811926660
  NPD (past) Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1679502470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 E CLARENDON AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167069",
            "telephone_number": "602-253-9168",
            "fax_number": "602-251-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "address_2": "ATTN: HAVASU CARDIAC SURGERY",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-854-0090",
            "fax_number": "928-453-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU CARDIAC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "TIBI",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-253-9168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117724",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Harrison, FNP-C
• Chad Edward Hartley, MD
• Stephanie Hatch, SLP
• Peter Hattar, DMD
• Havasu Behavioral Health, LLC
• Havasu Cardiac Surgery PLLC
• Havasu Dental Center PLLC
• Havasu Emergency Physicians, PC
• Havasu Foot & Ankle Center
• Havasu Foot & Ankle Center

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.