Organization
CASELLI AVENUE PROFESSIONALS
Active
Other names
North Mountain Cardio Health & Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SUTHERLAND M.D. (CEO)
(602) 714-6783
Entity
Organization
Contact information
Practice address
9812 N 7TH ST, 9812 N 7TH STREET SUITE 7, PHOENIX, AZ 85020-1763
(602) 714-6783
(602) 325-0125
Mailing address
9812 N 7TH ST, 9812 N 7TH STREET SUITE 7, PHOENIX, AZ 85020-1763
(602) 714-6783
(602) 325-0125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27801
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060049547
RAILROAD MEDICARE
AZ
05
—
445470
—
AZ
01
—
WCSKQ
SUN HEALTH GROUP
AZ
Enumeration date
08/31/2015
Last updated
08/31/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us