CARDIAC KIDS, PLLC – NPI #1124394556
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

CARDIAC KIDS, PLLC is a provider located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1124394556 to CARDIAC KIDS, PLLC on March 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 13 years ago on Aug 09, 2013. 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 CARDIAC KIDS, PLLC below.

NPI Profile for
CARDIAC KIDS, PLLC

NPI Number
1124394556
Enumeration Date

(more than 14 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
CARDIAC KIDS, PLLC
Primary location
1330 N RIM DR
SUITE A
FLAGSTAFF, AZ 86001-3134
Phone: (928) 779-7014 Fax: (928) 779-3493
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY ROCKOW
CEO
Phone: (928) 779-7014
Updated
Identifiers

Identifiers for CARDIAC KIDS, 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
MEDICAIDAZ393059
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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)		 AZ 25161

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.