Phoenix Heart, Pllc

LBN: Phoenix Heart, Pllc
Phoenix Heart, Pllc is an health care organization with primary practice located at 5859 W Talavi Blvd Ste 100 , Glendale AZ 85306-1870. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Phoenix Heart, Pllc can be contacted via phone (602) 298-7777, or through Munhall, Lysa via phone (602) 298-7777.

Contact Information

Primary practice address
5859 W Talavi Blvd Ste 100 Glendale AZ 85306-1870
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
Map and Directions
Authorized official contact:
Name: Munhall, Lysa
Phone: (602) 298-7777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1679608095
LBN Legal business name Phoenix Heart, Pllc
DBA Doing business as
Authorized official Munhall, Lysa
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Mar 11th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679608095 NPPES
Arizona Other Z27785 MEDICARE PTAN
Arizona Other Z212189 MEDICARE PTAN
Arizona MEDICAID 275622 MEDICARE PTAN

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