Organization Active NPI

Arizona Cardiovascular Perfusion Service

  • Perfusionist
  • Phoenix, AZ
National Provider Identifier
1962741298
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Legal business name
ARIZONA CARDIOVASCULAR PERFUSION SERVICE
Practice address
500 W Thomas Rd Ste 460
Phoenix, AZ 85013-4219
Phone
(623) 512-4155
Fax
(623) 512-4152
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Cheryl A Moore
Title
Manger
Phone
(623) 512-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PerfusionistGroup: 193400000X SINGLE SPECIALTY GROUP 242T00000X AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 460
Phoenix, AZ 85013-4219

Mailing address

500 W Thomas Rd Ste 460
Phoenix, AZ 85013-4219
Phone (623) 512-4155

National Provider Directory

National Provider Directory

Locations

500 W Thomas Rd
Ste 460
Phoenix, AZ 85013
Phone (602) 824-4155

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1962741298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134219",
            "telephone_number": "623-512-4155",
            "fax_number": "623-512-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134219",
            "telephone_number": "623-512-4155",
            "fax_number": "623-512-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR PERFUSION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "623-512-4155"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2013; 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.