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CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY INC NPI 1467553206


NPI Information

NPI: 1467553206
Provider Name: CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY, INC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2173 N RIDGE RD E
SUITE A
LORAIN, OH
ZIP 44055
Phone: (440) 277-5077
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CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY, INC is a thoracic surgery cardiothoracic vascular surgery in Lorain, OH. 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. CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY, INC NPI is 1467553206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2173 N RIDGE RD E
SUITE A
LORAIN, OH
ZIP 44055-400
Phone: (440) 277-5077
Fax: (440) 277-6696

The provider's authorized official is Judy Klekota .
The authorized official title is Credentialing Coordinator and has the following contact phone number (440) 233-1003.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 11/2/2007.


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)35053879OHIOYes

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
10636306MEDICAIDOHIO
29351961MEDICARE PINOHIO

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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