Phoenix Heart, Pllc in Glendale - Physician Assistant
Phoenix Heart, Pllc - NPI 1679608095
Phoenix Heart, Pllc is a Physician Assistant in Glendale, Arizona. Phoenix Heart, Pllc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phoenix Heart, Pllc is 1679608095. The last update date is 2021-03-11.
Phoenix Heart, Pllc's current location address is 5859 W Talavi Blvd Ste 100, Glendale, Arizona. You can contact this provider via phone number 6022987777 and fax number 6239306060. The mailing address for Phoenix Heart, Pllc is 5859 W Talavi Blvd Ste 100, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Heart, Pllc |
|---|---|
| Address | 5859 W Talavi Blvd Ste 100, Glendale, Arizona |
| Phone Number | 6022987777 |
| Fax Number | 6239306060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Munhall Lysa |
| Telephone Number | 6022987777 |
NPI Number Detail
| NPI Number | 1679608095 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 5859 W Talavi Blvd Ste 100 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853061870 |
| Phone Number | 6022987777 |
| Fax Number | 6239306060 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z27785 | AZ | MEDICARE PTAN | |
| Z212189 | AZ | MEDICARE PTAN | |
| 275622 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phoenix Heart, Pllc by the Centers for Medicare & Medicaid Services?
The Phoenix Heart, Pllc has been issued the NPI (National Provider Identifier) 1679608095 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Phoenix Heart, Pllc?
The Phoenix Heart, Pllc is situated at 5859 W Talavi Blvd Ste 100, in the city of Glendale, state of AZ, with the zip code 853061870.
What is Phoenix Heart, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phoenix Heart, Pllc's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1679608095 assigned to Phoenix Heart, Pllc?
The Phoenix Heart, Pllc was issued its 1679608095 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Phoenix Heart, Pllc most recently updated or refreshed?
The details pertaining to the Phoenix Heart, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-11.
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