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MARANATHA HEALTHCARE PC NPI 1679896716


NPI Information

NPI: 1679896716
Provider Name: MARANATHA HEALTHCARE PC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
9231 W FLORISSANT AVE
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 522-1888
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MARANATHA HEALTHCARE PC 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. MARANATHA HEALTHCARE PC NPI is 1679896716. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9231 W FLORISSANT AVE
SAINT LOUIS, MO
ZIP 63136-422
Phone: (314) 522-1888
Fax: (314) 522-9674

The provider's authorized official is Adeluola G Lipede .
The authorized official title is President and has the following contact phone number (314) 522-1888.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 5/17/2010.


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
1208D00000XGeneral PracticeR7F89MISSOURINo
2208VP0000XPain MedicinePain MedicineR7F89MISSOURINo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)R7F89MISSOURIYes

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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