Organization · NPI-2

Arizona Heart Institute Ltd

Internal Medicine, Cardiovascular Disease · Phoenix, AZ

NPI number1114999604

StatusActive

Last updated in NPPESFeb 18, 2010

Details

NPI: 1114999604
Entity type: Organization (NPI-2)
Legal business name: Arizona Heart Institute Ltd
Organization subpart: No
Enumeration date: Feb 7, 2006
Last updated: Feb 18, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–	Yes
207RC0200X	Internal Medicine, Critical Care Medicine	–	–
207RI0011X	Internal Medicine, Interventional Cardiology	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
208600000X	Surgery	–	–
2086S0129X		–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
363A00000X	Physician Assistant	–	–
363AS0400X	Physician Assistant, Surgical	–	–
363L00000X	Nurse Practitioner	–	–
363LA2200X	Nurse Practitioner, Adult Health	–	–
363LF0000X	Nurse Practitioner, Family	–	–
207RC0001X	Internal Medicine, Clinical Cardiac Electrophysiology	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
2085R0204X	Radiology, Vascular & Interventional Radiology	–	–

Practice location

2632 N 20th St
Phoenix, AZ 85006-1339

Phone 602-266-2200 · Fax 602-240-6177

Mailing address

Po Box 61773
Phoenix, AZ 85082-1773

Phone 602-266-2200 · Fax 602-240-6177

Authorized official

Edward B Diethrich
President/Medical Director
6022662200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.