Arizona Cardiovascular Care

Key facts

NPI

1780127266

Entity type

Organization (NPI type 2)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

48310 (AZ)

Legal business name

ARIZONA CARDIOVASCULAR CARE

Practice address

1847 E Southern Ave Ste 4
Tempe, AZ 85282-5881

Phone

(480) 878-4077

Fax

(480) 498-5269

NPI assigned

Nov 30, 2016

Organization subpart

No

Authorized official

Name

Dr. Ghassan Fraij, M.D. NPI 1225253800

Title

Interventional Cardiology

Phone

(480) 878-4077

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

Practitioners 2

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

• Ghassan Fraij, M.D. Interventional Cardiology Physician · Tempe, AZ · NPI 1225253800
  Medicare reassignment NPD Authorized official AZ · CARDIOVASCULAR DISEASE
• Karlyn Marie Kohler, NP Nurse Practitioner · Tempe, AZ · NPI 1912607581
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 12, 2023.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1780127266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850645200",
            "telephone_number": "480-878-4077",
            "fax_number": "480-498-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 E SOUTHERN AVE STE 4",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825881",
            "telephone_number": "480-878-4077",
            "fax_number": "480-498-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "FRAIJ",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "INTERVENTIONAL CARDIOLOGY",
        "authorized_official_telephone_number": "480-878-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "48310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tempe, AZ · Cardiovascular Disease Physician in Arizona