ADVANCED CARDIAC SPECIALISTS CHARTERED NPI 1235130824

NPI Information

NPI: 1235130824
Provider Name: ADVANCED CARDIAC SPECIALISTS, CHARTERED

Doing Business As: ADVANCED CARDIAC SPECIALISTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4838 E BASELINE RD
BLDG. 2 STE. 110
MESA, AZ
ZIP 85206
Phone: (480) 892-2800
Get Directions

ADVANCED CARDIAC SPECIALISTS, CHARTERED is a cardiovascular disease internal medicine in Mesa, 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. ADVANCED CARDIAC SPECIALISTS, CHARTERED NPI is 1235130824. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Cardiac Specialists.

The provider's business location address is:

4838 E BASELINE RD
BLDG. 2 STE. 110
MESA, AZ
ZIP 85206-671
Phone: (480) 892-2800
Fax: (480) 982-1400

The provider's authorized official is William Fazio .
The authorized official title is Controller and has the following contact phone number (480) 545-1808.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 9/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				No
2	208600000X	Surgery		30602	ARIZONA	No
3	2086S0129X	Surgery	Vascular Surgery	30602	ARIZONA	No
4	207R00000X	Internal Medicine		17159	ARIZONA	No
5	207RI0011X	Internal Medicine	Interventional Cardiology			No
6	207UN0901X	Nuclear Medicine	Nuclear Cardiology			No
7	2085B0100X	Radiology	Body Imaging			No
8	2085R0202X	Radiology	Diagnostic Radiology			No
9	363LA2200X	Nurse Practitioner	Adult Health			No
10	363AM0700X	Physician Assistant	Medical			No
11	207RC0000X	Internal Medicine	Cardiovascular Disease	16175	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	ZWDBSN	MEDICARE PIN	ARIZONA
2	ZWDBFG	MEDICARE PIN	ARIZONA
3	ZWDBDW	MEDICARE PIN	ARIZONA
4	ZWCKGK	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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