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CASELLI AVENUE PROFESSIONALS NPI 1184091704


NPI Information

NPI: 1184091704
Provider Name: CASELLI AVENUE PROFESSIONALS

Doing Business As: NORTH MOUNTAIN CARDIO HEALTH & FITNESS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
9812 N 7TH ST
9812 N 7TH STREET SUITE 7
PHOENIX, AZ
ZIP 85020
Phone: (602) 714-6783
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CASELLI AVENUE PROFESSIONALS is a cardiovascular disease internal medicine in Phoenix, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CASELLI AVENUE PROFESSIONALS NPI is 1184091704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Mountain Cardio Health & Fitness.

The provider's business location address is:

9812 N 7TH ST
9812 N 7TH STREET SUITE 7
PHOENIX, AZ
ZIP 85020-763
Phone: (602) 714-6783
Fax: (602) 325-0125

The provider's authorized official is John Sutherland .
The authorized official title is Ceo and has the following contact phone number (602) 714-6783.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 8/31/2015.


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 Disease27801ARIZONAYes

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
1060049547OTHERARIZONARAILROAD MEDICARE
2WCSKQOTHERARIZONASUN HEALTH GROUP
3C66703MEDICARE UPINARIZONA
4Z24307MEDICARE PINARIZONA
5445470MEDICAIDARIZONA

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: 4/28/2024

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