Arizona Cardiovascular Specialists, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ARIZONA CARDIOVASCULAR SPECIALISTS, PC

Doing business as

The Heart Center of Southern Arizona

Practice address

400 W Camino Casa Verde
Suite 100
Green Valley, AZ 85614-3564

Phone

(520) 615-1023

Fax

(520) 320-1742

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Gregory D Pennock, M.D.

Title

President

Phone

(520) 546-2420

Specialties & licenses 1

Addresses

Other names 1

• The Heart Center of Southern Arizona Doing business as

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1699962712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 E PIMA ST",
            "address_2": "SUITE 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857127000",
            "telephone_number": "520-546-2420",
            "fax_number": "520-546-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE",
            "address_2": "SUITE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143564",
            "telephone_number": "520-615-1023",
            "fax_number": "520-320-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PENNOCK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-546-2420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart Center of Southern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Green Valley, AZ
• Providers in Green Valley, 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 Oct 2, 2007; 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.