Organization Active NPI

Chest & Cardiovascular Surgery LTD.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1932264314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CHEST & CARDIOVASCULAR SURGERY LTD.
Practice address
515 W Buckeye Rd
Suite # 205
Phoenix, AZ 85003-2647
Phone
(602) 258-0491
Fax
(602) 258-0717
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Enrique C Scappatura, M.D
Title
Owner
Phone
(602) 258-0491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

515 W Buckeye Rd
Suite # 205
Phoenix, AZ 85003-2647

Mailing address

515 W Buckeye Rd
Suite # 205
Phoenix, AZ 85003-2647
Phone (602) 258-0491

Other identifiers 1

IdentifierTypeStateIssuer
237025MedicaidAZ

Other names 1

  • thoracic and vascular surgery Other name

National Provider Directory

National Provider Directory

Locations

515 W Buckeye Rd
Ste 205
Phoenix, AZ 85003
Phone (480) 223-7736

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932264314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD",
            "address_2": "SUITE # 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032647",
            "telephone_number": "602-258-0491",
            "fax_number": "602-258-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD",
            "address_2": "SUITE # 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032647",
            "telephone_number": "602-258-0491",
            "fax_number": "602-258-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEST & CARDIOVASCULAR SURGERY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCAPPATURA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-258-0491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "thoracic and vascular surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.