Southwest Heart PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1147990 Issued in AZ

Legal business name

SOUTHWEST HEART PC

Practice address

6367 E Tanque Verde Rd
Suite 100
Tucson, AZ 85715-3829

Phone

(520) 886-3432

Fax

(850) 886-0169

NPI assigned

Apr 9, 2009

Last updated

Jun 21, 2018By 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

Laurie Ann Sluder

Title

Business Offce Supervisor

Phone

(520) 290-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Gregory D Pennock, MD

  • Cardiovascular Disease Physician
  • Sandpoint, ID
  • NPI 1700889607
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1942443742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 E TANQUE VERDE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153829",
            "telephone_number": "520-886-3432",
            "fax_number": "850-886-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEART PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SLUDER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS OFFCE SUPERVISOR",
        "authorized_official_telephone_number": "520-290-5353"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1147990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "64188",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Adult Aspergers Association
• Southwest Ambulance of Tucson Inc (American Medical Response; AMR)
• Southwest Credentialing Service
• Southwest Hearing Care Inc (Southwest Hearing Care)
• Southwest Heart Group LLC
• Southwest International
• Southwest Kidney Davita Dialysis Partners, LLC (Swan Dialysis)
• Southwest Kidney Institute, PLC
• Southwest Kids Dentistry PLLC
• Southwest Laser Services,LLC

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.