HAVASU CARDIAC SURGERY PC NPI 1679502470

NPI Information

  • NPI: 1679502470
  • Provider Name: HAVASU CARDIAC SURGERY PC
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Address: 101 CIVIC CENTER LN
    ATTN: HAVASU CARDIAC SURGERY
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Phone: (928) 854-0090

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NPI Details

HAVASU CARDIAC SURGERY PC is a thoracic surgery cardiothoracic vascular surgery in Lake Havasu City, AZ. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. HAVASU CARDIAC SURGERY PC NPI is 1679502470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 CIVIC CENTER LN
ATTN: HAVASU CARDIAC SURGERY
LAKE HAVASU CITY, AZ
ZIP 86403-607
Phone: (928) 854-0090
Fax: (928) 453-0671

The provider's authorized official is Pierre R Tibi .
The authorized official title is Owner and has the following contact phone number (602) 253-9168.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/10/2008.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)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 Other Provider Identifier Issuer
1Z110361MEDICARE PINARIZONA
2117724MEDICAIDARIZONA

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: 11/21/2025

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