HAVASU CARDIAC SURGERY PC
NPI 1679502470
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lake Havasu City, AZ

Active since July 02, 2006
101 CIVIC CENTER LN, ATTN: HAVASU CARDIAC SURGERY, LAKE HAVASU CITY, AZ 86403(928) 854-0090(928) 453-0671 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Havasu Cardiac Surgery Pc NPPES

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

HAVASU CARDIAC SURGERY PC (NPI 1679502470) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Lake Havasu City, Arizona and active in the NPI registry since July 2006. The organization lists Pierre R Tibi, Owner, as its authorized official.

NPPES Registry Identity

NPI1679502470
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameHAVASU CARDIAC SURGERY PC
Location Address101 CIVIC CENTER LN, ATTN: HAVASU CARDIAC SURGERYLake Havasu City, AZ 86403-5607
Mailing Address3131 E Clarendon Ave, Suite 102Phoenix, AZ 85016-7069 · (602) 253-9168 · Fax (602) 251-3126
Fax(928) 453-0671
Organization SubpartNo
Authorized OfficialPierre R TibiOwner · (602) 253-9168
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 10, 2008
NPI 1679502470 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.
101 CIVIC CENTER LN, Lake Havasu City, AZ 86403

Other Identifiers 2

Medicare PINZ110361AZ
Medicaid117724AZ

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 20

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

Internal Medicine (Hematology & Oncology)
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Internal Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Emergency Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Specialist
101 CIVIC CENTER LN, RADIATION-ONCOLOGY BUILDING
LAKE HAVASU CITY, AZ 86403
Dietitian, Registered
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Internal Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Radiology (Diagnostic Radiology)
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
Anesthesiology
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403

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 Havasu Cardiac Surgery PC's NPI number?

The NPI number for Havasu Cardiac Surgery PC is 1679502470. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Havasu Cardiac Surgery PC located?

Havasu Cardiac Surgery PC is located at 101 Civic Center Ln Attn: Havasu Cardiac Surgery, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-0090.

What is Havasu Cardiac Surgery PC'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 Havasu Cardiac Surgery PC was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.