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

Phoenix Cardiac Surgery

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1619169950

Phoenix Cardiac Surgery is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Prescott, Arizona. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

811 Ainsworth Dr Ste 109
Prescott, AZ 86301-1687
Phone: (928) 771-5595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1619169950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pierre Tibi — Owner · (602) 253-9168
Other names Yavapai Cardiac Surgery
NPI enumeratedAugust 10, 2007
Last updated in NPPESJanuary 7, 2015
Mailing address3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016-7069

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