Provider Demographics
NPI:1386065043
Name:OPTIMAL HEART ATTACK & STROKE PREVENTION CENTER PLC
Entity type:Organization
Organization Name:OPTIMAL HEART ATTACK & STROKE PREVENTION CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEYRER-MELK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-941-0800
Mailing Address - Street 1:9965 N 95TH ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4594
Mailing Address - Country:US
Mailing Address - Phone:480-941-0800
Mailing Address - Fax:480-941-8333
Practice Address - Street 1:9965 N. 95TH ST SUITE
Practice Address - Street 2:#110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4494
Practice Address - Country:US
Practice Address - Phone:480-941-0800
Practice Address - Fax:480-941-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21595207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty