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EAST FALLS CARDIOVASCULAR AND THORACIC SURGERY LLC NPI 1376858878


NPI Information

NPI: 1376858878
Provider Name: EAST FALLS CARDIOVASCULAR AND THORACIC SURGERY, LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2860 CHANNING WAY
STE 112
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 535-4566
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EAST FALLS CARDIOVASCULAR AND THORACIC SURGERY, LLC is a thoracic surgery cardiothoracic vascular surgery in Idaho Falls, ID. 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. EAST FALLS CARDIOVASCULAR AND THORACIC SURGERY, LLC NPI is 1376858878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2860 CHANNING WAY
STE 112
IDAHO FALLS, ID
ZIP 83404-532
Phone: (208) 535-4566

The provider's authorized official is David J Kane .
The authorized official title is Vice President Of Operations and has the following contact phone number (801) 568-5936.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 8/10/2010.


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)IDAHOYes

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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