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CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES PA NPI 1447202726


NPI Information

NPI: 1447202726
Provider Name: CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA

Doing Business As: CARDIOTHORACIC & VASCULAR ASSOCIATES

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
333 N. 1ST ST.
#280
BOISE, ID
ZIP 83702
Phone: (208) 345-6545
Get Directions

CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA is a thoracic surgery cardiothoracic vascular surgery in Boise, 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. CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA NPI is 1447202726. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiothoracic & Vascular Associates.

The provider's business location address is:

333 N. 1ST ST.
#280
BOISE, ID
ZIP 83702
Phone: (208) 345-6545
Fax: (208) 345-1213

The provider's authorized official is Donetta Hesgard .
The authorized official title is Administrator and has the following contact phone number (208) 345-6545.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/22/2020.


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)Yes
22086S0129XSurgeryVascular SurgeryX
3363AS0400XPhysician AssistantSurgicalX

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
189508OTHERIDAHOBLUE CROSS
2000010026913OTHERIDAHOBLUE SHIELD
3049841MEDICAIDOREGON
4CO3057OTHERIDAHORRMC

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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