CARDIOTHORACIC SURGERY GROUP SC NPI 1053388553

NPI Information

NPI: 1053388553
Provider Name: CARDIOTHORACIC SURGERY GROUP SC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2315 N LAKE DR
MILWAUKEE, WI
ZIP 53211
Phone: (414) 271-5119
Get Directions

CARDIOTHORACIC SURGERY GROUP SC is a vascular surgery surgery in Milwaukee, WI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CARDIOTHORACIC SURGERY GROUP SC NPI is 1053388553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2315 N LAKE DR
MILWAUKEE, WI
ZIP 53211-516
Phone: (414) 271-5119
Fax: (414) 271-3756

The provider's authorized official is Robert P Mcmanus .
The authorized official title is President and has the following contact phone number (414) 271-5119.

The enumeration date for this NPI number is 3/2/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32895200	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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