Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heart Shop, LLC

Organization Cardiovascular Disease Physician · NPI 1558997742

Heart Shop, LLC is a Cardiovascular Disease Physician in Prescott, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

242 Whipple St
Prescott, AZ 86301-1787
Phone: (928) 708-9355
Fax: (928) 778-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1558997742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Rothrock — Owner · (928) 708-9355
NPI enumeratedMarch 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address242 Whipple St, Prescott, AZ 86301-1787

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