Arizona Cardiovascular Care

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

48310 Issued in 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

Last updated

Oct 12, 2023By 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

Dr. Ghassan Fraij, M.D.NPI 1225253800

Title

Interventional Cardiology

Phone

(480) 878-4077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Ghassan Fraij, M.D.

  • Interventional Cardiology Physician
  • Tempe, AZ
  • NPI 1225253800

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official
• Karlyn Marie Kohler, NP

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1912607581
  NPD

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

{
    "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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• Cardiovascular Disease Physician in Tempe, AZ
• Providers in Tempe, 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 12, 2023; 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.