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YAVAPAI CARDIAC SURGERY
NPI 1619169950
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Prescott, AZ

Active since August 10, 2007
811 AINSWORTH DR, SUITE 109, PRESCOTT, AZ 86301(928) 771-5595 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yavapai Cardiac Surgery NPPES

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

YAVAPAI CARDIAC SURGERY (NPI 1619169950) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Prescott, Arizona and active in the NPI registry since August 2007. The organization lists Pierre R Tibi, Owner, as its authorized official.

NPPES Registry Identity

NPI1619169950
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NamePHOENIX CARDIAC SURGERY
Location Address811 AINSWORTH DR, SUITE 109Prescott, AZ 86301-1687
Mailing Address3131 E Clarendon Ave, Suite 102Phoenix, AZ 85016-7069 · (602) 253-9168
Phone(928) 771-5595
Organization SubpartNo
Authorized OfficialPierre R TibiOwner · (602) 253-9168
Enumeration DateAugust 10, 2007
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1619169950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
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.
811 AINSWORTH DR, Prescott, AZ 86301
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Other Names 1

Doing Business AsYavapai Cardiac Surgery

Other Identifiers 2

Medicare PINZ118122
Medicaid938632AZ

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 10

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

DR. MILTON MURRAY SCHILD M.D.
Internal Medicine (Gastroenterology)
811 AINSWORTH DR, SUITE 103
PRESCOTT, AZ 86301
Yavapai County (928) 771-5548
THOMAS WILLIAM RUSING M.D.
Surgery
811 AINSWORTH DR, SUITE 103
PRESCOTT, AZ 86301
Yavapai County (928) 771-5550
RONALD F WHITNEY M.D.
Specialist
811 AINSWORTH DR, SUITE 101
PRESCOTT, AZ 86301
Yavapai County (928) 771-5282
DR. LJUDEVIT ANDRES M.D.
Internal Medicine (Gastroenterology)
811 AINSWORTH DR, SUITE 103
PRESCOTT, AZ 86301
Yavapai County (928) 771-5548
MICHAEL E STANIK MD
Specialist
811 AINSWORTH DR, SUITE 101
PRESCOTT, AZ 86301
Yavapai County (928) 771-5282
MARTIN JOSEPH LEIDINGER M.D.
Internal Medicine (Pulmonary Disease)
811 AINSWORTH DR
PRESCOTT, AZ 86301
Yavapai County (928) 771-5550
BRIAN S ALLSHOUSE PA-C
Physician Assistant (Surgical)
811 AINSWORTH DR, SUITE 109
PRESCOTT, AZ 86301
Yavapai County (928) 771-5595
PIERRE R TIBI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
811 AINSWORTH DR, SUITE 109
PRESCOTT, AZ 86301
Yavapai County (928) 771-5595

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 Phoenix Cardiac Surgery's NPI number?

The NPI number for Phoenix Cardiac Surgery is 1619169950. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Yavapai Cardiac Surgery.

Where is Phoenix Cardiac Surgery located?

Phoenix Cardiac Surgery is located at 811 Ainsworth Dr Suite 109, Prescott, AZ 86301. The listed phone number is (928) 771-5595.

What is Phoenix Cardiac Surgery's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Cardiac Surgery was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.