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CENTER FOR CARDIOTHORACIC SURGERY INC NPI 1235144601


NPI Information

NPI: 1235144601
Provider Name: CENTER FOR CARDIOTHORACIC SURGERY, INC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 26D1007609

Address:
10004 KENNERLY RD
SUITE 165B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5268
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CENTER FOR CARDIOTHORACIC SURGERY, INC is a thoracic surgery cardiothoracic vascular surgery in Saint Louis, MO. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CENTER FOR CARDIOTHORACIC SURGERY, INC NPI is 1235144601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10004 KENNERLY RD
SUITE 165B
SAINT LOUIS, MO
ZIP 63128-141
Phone: (314) 543-5268
Fax: (314) 543-5202

The provider's authorized official is Hon Chi Suen .
The authorized official title is President and has the following contact phone number (314) 439-0368.

The CLIA number assigned to this NPI record is 26D1007609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)112379MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1501467609MEDICAIDMISSOURI
2000014988MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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