AVANTGARDE CARDIOVASCULAR SERVICES PC – NPI #1134835358
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

AVANTGARDE CARDIOVASCULAR SERVICES PC is a provider located in YOUNGTOWN, AZ. NPPES has assigned the NPI number 1134835358 to AVANTGARDE CARDIOVASCULAR SERVICES PC on January 31, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

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 AVANTGARDE CARDIOVASCULAR SERVICES PC below.

NPI Profile for
AVANTGARDE CARDIOVASCULAR SERVICES PC

NPI Number
1134835358
Enumeration Date

(more than 3 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
AVANTGARDE CARDIOVASCULAR SERVICES PC
Primary location
11124 W CALIFORNIA AVE
SUITE G
YOUNGTOWN, AZ 85363-1246
Phone: (623) 583-2073 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - AVANTGARDE CARDIOVASCULAR SERVICES PC is subpart of another organization.
Authorized Official
PEGGY JETER
OFFICE MANAGER
Phone: (623) 583-2073
Updated
Certification Date
Jan 31, 2023

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 AVANTGARDE CARDIOVASCULAR SERVICES PC

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
medicaidAZ097588
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
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)

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.