MEDICARE: HONORHEALTH AMBULATORY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	207RC0001X	Clinical Cardiac Electrophysiology Physician
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number	:	1043855380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORHEALTH AMBULATORY

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4171
Country	:	US
Telephone Number	:	480-587-5314
Fax Number	:

Provider Business Practice Location Address
First Line	:	10210 N 92ND ST STE 101
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4523
Country	:	US
Telephone Number	:	602-861-1168
Fax Number	:

Authorized Official
Title or Position	:	SVP
Name	:	SAVAS PETRIDES
Credential	:
Telephone Number	:	480-696-4020

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	11/10/2022

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Directions to “HONORHEALTH AMBULATORY ” Practice Location

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