Red Heart Surgical Assisting

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

RED HEART SURGICAL ASSISTING

Practice address

43643 W Arizona Ave
Maricopa, AZ 85138-5642

Phone

(520) 840-7509

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Cathey Fredrickson, CST, CSFA

Title

Owner

Phone

(520) 840-7509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1972166858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43643 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385642",
            "telephone_number": "520-840-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43643 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385642",
            "telephone_number": "520-840-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HEART SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "FREDRICKSON",
        "authorized_official_first_name": "CATHEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-840-7509",
        "authorized_official_credential": "CST, CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Christianne Sandhya Ravi Chandar, MD
• Keira Rayford
• Recovery in Motion LLC
• Recovery in Progress, LLC
• Recovery in Progress, LLC
• Jason D Redd, PA-C
• Sheila Reed, LASAC
• Rehema Care LLC
• Rehoboth LLC
• Rehoboth LLC

• Surgical Physician Assistant in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.