Organization Active NPI

Sierra Heart, PLLC

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
National Provider Identifier
1891055596
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
220725 Issued in AZ
Legal business name
SIERRA HEART, PLLC
Practice address
302 El Camino Real
Suite G
Sierra Vista, AZ 85635-2860
Phone
(520) 722-3777
Fax
(520) 296-6224
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Gundeep Singh, M.D.
Title
Owner
Phone
(520) 722-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 220725 AZ Primary

Addresses

Primary practice location

302 El Camino Real
Suite G
Sierra Vista, AZ 85635-2860

Mailing address

1951 N Wilmot Rd
BLDG 1, Ste 2
Tucson, AZ 85712-8000
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
450050MedicaidAZ

National Provider Directory

National Provider Directory

Locations

302 El Camino Real
Ste G
Sierra Vista, AZ 85635

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1891055596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "BLDG 1, STE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "SUITE G",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HEART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GUNDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-722-3777",
        "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": "220725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450050",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.