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DR. AMBROSE FRANCIS PANICO D.O. NPI 1245539659


NPI Information

NPI: 1245539659
Provider Name: DR. AMBROSE FRANCIS PANICO, D.O.
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

Organization: CARDIOVASCULAR ASSOCIATES OF MESA PC

PECOS Registration: Yes

Address:
6116 E ARBOR AVE STE 112
MESA, AZ
ZIP 85206
Phone: (480) 641-5400
Get Directions

DR. Ambrose Francis Panico, D.O. is a clinical cardiac electrophysiology internal medicine in Mesa, AZ with 13 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Ambrose Francis Panico, D.O. NPI is 1245539659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2011

The provider's business location address is:

6116 E ARBOR AVE STE 112
MESA, AZ
ZIP 85206-103
Phone: (480) 641-5400
Fax: (480) 218-4353

The NPI 1245539659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2011 and was last updated on 8/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease008452ARIZONANo
2207RC0001XInternal MedicineClinical Cardiac Electrophysiology008452ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007236MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.