South Mountain Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

42751 Issued in AZ

Legal business name

SOUTH MOUNTAIN CARDIOLOGY

Practice address

303 E Baseline Rd
#105
Phoenix, AZ 85042-6530

Phone

(602) 254-6640

Fax

(602) 254-6164

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Nadeem Husain, MDNPI 1154406775

Title

Proprietor

Phone

(602) 254-6640

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5780/brand/1/csg/1/fhir/r4

Practitioners 6

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

• Nadeem M Husain, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1154406775
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Munneke, NP-BC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1558798371
  Medicare reassignment Care Compare group NPD
• Amy Hanford, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1699152900
  Medicare reassignment NPD
• Patricia J Cox, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1942200530

  AZ

  Medicare reassignment NPD
• Camelle Marie Jones, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1508356411
  NPD (past)
• Cimone Sherman, PA-C

  • Cardiovascular Disease Physician
  • Tempe, AZ
  • NPI 1083225304
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1730440538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-254-6640",
            "fax_number": "602-254-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-254-6640",
            "fax_number": "602-254-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "602-254-6640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "42751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soundmind Counseling, PLLC
• Sounds of Care L.L.C
• Sourougnani LLC
• South Central Dental LLC
• South Mountain Anesthesia PC
• South Mountain Dental Care Center
• South Mountain Dental Partners LLC (Risas Dental and Braces)
• South Mountain Family Psychiatry, LLC
• South Mountain Physical Therapy LLC
• South Mountain Rehabilitation P.C.

• Cardiovascular Disease Physician in Phoenix, AZ
• Providers in Phoenix, 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 Aug 1, 2012; 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.