PHOENIX HEART, PLLC – NPI #1679608095
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.

PHOENIX HEART, PLLC is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1679608095 to PHOENIX HEART, PLLC on February 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Mar 11, 2021. 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 PHOENIX HEART, PLLC below.

NPI Profile for
PHOENIX HEART, PLLC

NPI Number
1679608095
Enumeration Date

(more than 19 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
PHOENIX HEART, PLLC
Primary location
5859 W TALAVI BLVD STE 100
GLENDALE, AZ 85306-1870
Phone: (602) 298-7777 Fax: (623) 930-6060
1 Other location(s):
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (602) 908-8667
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LYSA MUNHALL
CREDENTIALING MANAGER
Phone: (602) 298-7777
Updated
Certification Date
Mar 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHOENIX HEART, PLLC

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
OTHERMEDICARE PTANAZZ27785
OTHERMEDICARE PTANAZZ212189
MEDICAIDAZ275622
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.

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.