Havasu Cardiac Surgery Pc in Lake Havasu City - Thoracic Surgery (cardiothoracic Vascular Surgery)
Havasu Cardiac Surgery Pc - NPI 1679502470
Havasu Cardiac Surgery Pc is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Lake Havasu City, Arizona. Havasu Cardiac Surgery Pc practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Havasu Cardiac Surgery Pc is 1679502470. The last update date is 2008-03-10.
Havasu Cardiac Surgery Pc's current location address is 101 Civic Center Ln, Lake Havasu City, Arizona. You can contact this provider via phone number 9288540090 and fax number 9284530671. The mailing address for Havasu Cardiac Surgery Pc is 101 Civic Center Ln, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Havasu Cardiac Surgery Pc |
|---|---|
| Address | 101 Civic Center Ln, Lake Havasu City, Arizona |
| Phone Number | 9288540090 |
| Fax Number | 9284530671 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tibi R Pierre |
| Credentials | MD |
| Telephone Number | 6022539168 |
NPI Number Detail
| NPI Number | 1679502470 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
| Address | 101 Civic Center Ln |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 8640356070 |
| Phone Number | 9288540090 |
| Fax Number | 9284530671 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117724 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Havasu Cardiac Surgery Pc?
The Havasu Cardiac Surgery Pc has been issued the NPI (National Provider Identifier) 1679502470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Havasu Cardiac Surgery Pc's facilities are situated?
The facilities of Havasu Cardiac Surgery Pc are physically located at the following address: 101 Civic Center Ln, Lake Havasu City, AZ, 8640356070.
What is the area of specialization for Havasu Cardiac Surgery Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Havasu Cardiac Surgery Pc is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of expertise is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679502470 to Havasu Cardiac Surgery Pc?
The Centers for Medicare & Medicaid Services originally issued the 1679502470 to Havasu Cardiac Surgery Pc on 2006-07-02.
When was the Havasu Cardiac Surgery Pc's information last updated?
The Havasu Cardiac Surgery Pc's information was last updated on 2008-03-10.