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Cardiac Care Center LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Gilbert, AZ. Organization (NPI-2).

NPI number1265622609
StatusActive
Last updated in NPPESAug 1, 2007

Details

NPI
1265622609
Entity type
Organization (NPI-2)
Legal business name
Cardiac Care Center LLC
Organization subpart
No
Enumeration date
Aug 1, 2007
Last updated
Aug 1, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)6960AZYes

Practice location

770 North Monterey
Suite F
Gilbert, AZ 85233-3821

Phone 602-288-8699 · Fax 801-681-3453

Mailing address

770 North Monterey
Suite F
Gilbert, AZ 85233-3821

Phone 602-288-8699 · Fax 801-681-3453

Authorized official

Dwight Carl Lundell
General Partner
6022888699

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.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Gilbert, AZ

All 5 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Gilbert · All 7,856 providers in Gilbert

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