PHOENIX HEART, PLLC - NPI 1679608095 - Internal Medicine in Glendale, AZ

Q: What is Phoenix Heart, PLLC's NPI number?

The NPI number for Phoenix Heart, PLLC is 1679608095. It was assigned to this organization in the NPPES registry on February 23, 2007.

Q: What is Phoenix Heart, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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About Phoenix Heart, Pllc NPPES

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

PHOENIX HEART, PLLC (NPI 1679608095) is a healthcare organization registered as a cardiovascular disease in Glendale, Arizona and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Tacoma and lists Lysa Munhall, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679608095

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePHOENIX HEART, PLLC

Location Address5859 W TALAVI BLVD STE 100Glendale, AZ 85306-1870

Mailing Address5859 W Talavi Blvd Ste 100Glendale, AZ 85306-1870 · (602) 298-7777 · Fax (623) 930-6060

Phone(602) 298-7777

Fax(623) 930-6060

Organization SubpartNo

Authorized OfficialLysa MunhallCredentialing Manager · (602) 298-7777

Enumeration DateFebruary 23, 2007

Last NPPES UpdateMarch 11, 20215 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1679608095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

5859 W TALAVI BLVD STE 100, Glendale, AZ 85306

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Secondary Practice Location 1

Location 19040 Jackson AveTacoma, WA 98431-0001 · Phone (602) 908-8667

Other Identifiers 3

OtherZ27785AZ · Medicare Ptan

OtherZ212189AZ · Medicare Ptan

Medicaid275622AZ

Group Practice 2

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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.

MRS. MARY P KAPLAN ANP

Nurse Practitioner (Acute Care)