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CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY P. A. NPI 1356404362


NPI Information

NPI: 1356404362
Provider Name: CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 01D2262379

Address:
2055 E SOUTH BLVD
SUITE 301
MONTGOMERY, AL
ZIP 36116
Phone: (334) 286-9500
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CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A. is a vascular surgery surgery in Montgomery, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A. NPI is 1356404362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2055 E SOUTH BLVD
SUITE 301
MONTGOMERY, AL
ZIP 36116-001
Phone: (334) 286-9500
Fax: (334) 286-9380

The provider's authorized official is Paul Louis Cammack .
The authorized official title is President and has the following contact phone number (334) 286-9500.

The CLIA number assigned to this NPI record is 01D2262379 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/15/2007.


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
12086S0129XSurgeryVascular Surgery9494ALABAMAYes

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
1CI0175OTHERGEORGIARRMC-PIN
2D523MEDICARE PIN

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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