NPIMap

Organization Active NPI

Abdul Memon, MD, PLLC

Doing business as Cardiovascular Associates of Arizona

  • Cardiovascular Disease Physician
  • Globe, AZ
National Provider Identifier
1760622344
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24282 Issued in AZ
Legal business name
ABDUL MEMON, MD, PLLC
Doing business as
Cardiovascular Associates of Arizona
Practice address
5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455
Phone
(928) 793-3747
Fax
(928) 793-3745
NPI assigned
Feb 23, 2009
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Dr. Abdul Q Memon, MDNPI 1093781346
Title
Owner
Phone
(928) 793-3747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 24282 AZ Primary

Addresses

Primary practice location

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455

Mailing address

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455
Phone (928) 793-3747

Other practice location 1

2075 W Pecos Rd Ste 2
Chandler, AZ 85224-5723
Phone (480) 748-4238

Other names 1

  • Cardiovascular Associates of Arizona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000109 AZ Part B Supplier - Clinic/Group Practice 5294883211 Receives reassigned benefits from 16 practitioners
Practice locations: Chandler, AZ; Globe, AZ

National Provider Directory

National Provider Directory

Locations

2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840

600 S Dobson Rd
Ste E42
Chandler, AZ 85224
Phone (480) 289-4550

3570 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 899-9923

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1760622344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 W Pecos Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245723",
            "country_code": "US",
            "telephone_number": "480-748-4238",
            "fax_number": "480-452-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABDUL MEMON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-793-3747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "24282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Associates of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.