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CORVASC MDS PC NPI 1710902671


NPI Information

NPI: 1710902671
Provider Name: CORVASC MDS PC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
8433 HARCOURT ROAD
SUITE 100
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 583-7600
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CORVASC MDS PC is a thoracic surgery cardiothoracic vascular surgery in Indianapolis, IN. 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. CORVASC MDS PC NPI is 1710902671. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8433 HARCOURT ROAD
SUITE 100
INDIANAPOLIS, IN
ZIP 46260-193
Phone: (317) 583-7600
Fax: (317) 583-7601

The provider's authorized official is Lynne Tromble .
The authorized official title is Administrator and has the following contact phone number (317) 583-7600.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 6/3/2008.


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
12085R0204XRadiologyVascular & Interventional Radiology50000804AINDIANANo
22086S0129XSurgeryVascular Surgery50000804AINDIANANo
3204F00000XTransplant Surgery50000804AINDIANANo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)50000804AINDIANAYes

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
1CA1027OTHERRAILROAD MEDICARE
2063280MEDICARE PIN
3CN0273OTHERRAILROAD MEDICARE
4100056810MEDICAIDINDIANA
5CN0337OTHERRAILROAD MEDICARE

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: 11/14/2023

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