Phoenix Cardiac Surgery in Prescott - Thoracic Surgery (cardiothoracic Vascular Surgery)
Phoenix Cardiac Surgery - NPI 1619169950
Phoenix Cardiac Surgery is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Prescott, Arizona. Phoenix Cardiac Surgery practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Phoenix Cardiac Surgery is 1619169950. The last update date is 2015-01-07.
Phoenix Cardiac Surgery's current location address is 811 Ainsworth Dr, Prescott, Arizona. You can contact this provider via phone number 9287715595. The mailing address for Phoenix Cardiac Surgery is 811 Ainsworth Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Cardiac Surgery |
|---|---|
| Address | 811 Ainsworth Dr, Prescott, Arizona |
| Phone Number | 9287715595 |
| Fax Number | |
| 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 | 1619169950 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2015-01-07 |
Provider Mailing Address Detail
| Address | 811 Ainsworth Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863011687 |
| Phone Number | 9287715595 |
| Fax Number |
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 |
|---|---|---|---|
| 938632 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phoenix Cardiac Surgery by the Centers for Medicare & Medicaid Services?
The Phoenix Cardiac Surgery has been issued the NPI (National Provider Identifier) 1619169950, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Phoenix Cardiac Surgery is geographically located?
The Phoenix Cardiac Surgery is physically situated at the following location: 811 Ainsworth Dr, Prescott, AZ, 863011687.
What is Phoenix Cardiac Surgery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phoenix Cardiac Surgery is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that categorizes this field of expertise is 208G00000X.
On what date did the Phoenix Cardiac Surgery receive its 1619169950 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Cardiac Surgery was assigned its 1619169950 by the Centers for Medicare & Medicaid Services on 2007-08-10.
As of what date were the details related to Phoenix Cardiac Surgery most recently updated or revised?
The information pertaining to Phoenix Cardiac Surgery, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-07.