1. Home
  2. Directory
  3. Arizona
  4. Flagstaff
  5. Pediatrics
  6. NPI Profile

CARDIAC KIDS, PLLC
NPI 1124394556
Pediatrics - Pediatric Cardiology in Flagstaff, AZ

Active since March 29, 2012
1330 N RIM DR, SUITE A, FLAGSTAFF, AZ 86001(928) 779-7014(928) 779-3493 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cardiac Kids, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDIAC KIDS, PLLC (NPI 1124394556) is a healthcare organization registered as a pediatric cardiology in Flagstaff, Arizona and active in the NPI registry since March 2012. The organization lists Jeffrey P Rockow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124394556
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameCARDIAC KIDS, PLLC
Location Address1330 N RIM DR, SUITE AFlagstaff, AZ 86001-3134
Mailing Address1330 N Rim Dr, Suite AFlagstaff, AZ 86001-3134 · (928) 779-7014 · Fax (928) 779-3493
Phone(928) 779-7014
Fax(928) 779-3493
Organization SubpartNo
Authorized OfficialJeffrey P RockowCeo · (928) 779-7014
Enumeration DateMarch 29, 2012
Last NPPES UpdateAugust 9, 2013
✔ NPI 1124394556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in AZ · 25161
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1330 N RIM DR, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Identifiers 1

Medicaid393059AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES WALLACE MATHEWSON M.D.
Pediatrics (Pediatric Cardiology)
1330 N RIM DR, SUITE A
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7014
JOHN W. HOWLEY, MD PC
Internal Medicine (Cardiovascular Disease)
1330 N RIM DR, STE B
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3343
TRINITY HEARING CENTER, INC.
Audiologist
1330 N RIM DR, SUITE B
FLAGSTAFF, AZ 86001
Coconino County (928) 522-0500
DR. KARON B LYNN AUD
Audiologist
1330 N RIM DR, SUITE B
FLAGSTAFF, AZ 86001
Coconino County (928) 522-0500
JEFFREY P ROCKOW M.D.
Pediatrics (Pediatric Cardiology)
1330 N RIM DR, STE A
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardiac Kids, PLLC's NPI number?

The NPI number for Cardiac Kids, PLLC is 1124394556. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is Cardiac Kids, PLLC located?

Cardiac Kids, PLLC is located at 1330 N Rim Dr Suite A, Flagstaff, AZ 86001. The listed phone number is (928) 779-7014.

What is Cardiac Kids, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Cardiac Kids, PLLC was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.