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HONORHEALTH AMBULATORY NPI 1275157414


NPI Information

NPI: 1275157414
Provider Name: HONORHEALTH AMBULATORY

Former Legal Business Name: SCOTTSDALE HEALTHCARE CORP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 03D2158538

Address:
18404 N TATUM BLVD STE 201
PHOENIX, AZ
ZIP 85032
Phone: (602) 861-1168
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HONORHEALTH AMBULATORY 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. HONORHEALTH AMBULATORY NPI is 1275157414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Scottsdale Healthcare Corp.

The provider's business location address is:

18404 N TATUM BLVD STE 201
PHOENIX, AZ
ZIP 85032-508
Phone: (602) 861-1168

The provider's authorized official is Savas Petrides .
The authorized official title is Svp/ceo and has the following contact phone number (480) 696-4020.

The CLIA number assigned to this NPI record is 03D2158538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2020 and was last updated on 9/18/2020.


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
12086S0129XSurgeryVascular SurgeryNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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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