Southwestern Cardiovascular and Thoracic Surgeons LTD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHWESTERN CARDIOVASCULAR AND THORACIC SURGEONS LTD

Practice address

10390 N Tatum Blvd
Suite 103
Phoenix, AZ 85028

Phone

(602) 263-7600

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

R Randall Grace, MD

Title

President

Phone

(602) 263-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Louis Howard Glass, M.D.

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1982682316
  NPD (past)
• Casey L Huston, MD PC

  • Vascular Surgery Physician
  • Scottsdale, AZ
  • NPI 1881698256
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952311037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 N TATUM BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-263-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 N TATUM BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-263-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN CARDIOVASCULAR AND THORACIC SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-263-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN",
            "identifier": "F06781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Spine and Orthopedic Center PLLC
• Southwest Sports Medicine and Rehabilitation LLC
• Southwest Surgery Services, LLC
• Southwest Therapy Specialists, P.C.
• Southwest Wellness Group, LLC
• Southwestern Eye Center LTD
• Southwestern Eye Center, LTD
• Southwestern Eye Center, LTD
• Southwestern Neurosurgery P.C.
• Cole William Southworth, DO, MPH, MS

• Vascular Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Vascular Surgery Physician in Arizona

• 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.