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CARDIOTHORACIC SURGICAL ASSOCIATES OF MONTGOMERY LLC NPI 1639112964


NPI Information

NPI: 1639112964
Provider Name: CARDIOTHORACIC SURGICAL ASSOCIATES OF MONTGOMERY, LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2055 E SOUTH BLVD
SUITE 708
MONTGOMERY, AL
ZIP 36116
Phone: (334) 288-1033
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CARDIOTHORACIC SURGICAL ASSOCIATES OF MONTGOMERY, LLC is a thoracic surgery cardiothoracic vascular surgery in Montgomery, AL. 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. CARDIOTHORACIC SURGICAL ASSOCIATES OF MONTGOMERY, LLC NPI is 1639112964. 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 708
MONTGOMERY, AL
ZIP 36116-001
Phone: (334) 288-1033
Fax: (334) 288-8823

The provider's authorized official is James W Blatchford .
The authorized official title is Owner and has the following contact phone number (334) 288-1033.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 6/23/2009.


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)0006734ALABAMAYes

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
1529920080MEDICAIDALABAMA
2J794, J795, J796MEDICARE ID-TYPE UNSPECIFIEDALABAMAFACILITY #'S

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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