NORTH MOUNTAIN CARDIO HEALTH & FITNESS – NPI #1184091704
Internal Medicine

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.

NORTH MOUNTAIN CARDIO HEALTH & FITNESS is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1184091704 to NORTH MOUNTAIN CARDIO HEALTH & FITNESS on August 31, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTH MOUNTAIN CARDIO HEALTH & FITNESS” is a dba name, the actual legal business name for this organization is CASELLI AVENUE PROFESSIONALS. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH MOUNTAIN CARDIO HEALTH & FITNESS below.

NPI Profile for
CASELLI AVENUE PROFESSIONALS

NPI Number
1184091704
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASELLI AVENUE PROFESSIONALS
Doing Business As (dba): NORTH MOUNTAIN CARDIO HEALTH & FITNESS
Primary location
9812 N 7TH ST
9812 N 7TH STREET SUITE 7
PHOENIX, AZ 85020-1763
Phone: (602) 714-6783 Fax: (602) 325-0125
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN SUTHERLAND
CEO
Phone: (602) 714-6783
Updated
Identifiers

Identifiers for NORTH MOUNTAIN CARDIO HEALTH & FITNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREAZ060049547
OTHERSUN HEALTH GROUPAZWCSKQ
MEDICAIDAZ445470
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
AZ 27801

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.