APPLETON CARDIAC & THORACIC SURGERY S.C. NPI 1508045113

NPI Information

  • NPI: 1508045113
  • Provider Name: APPLETON CARDIAC & THORACIC SURGERY, S.C.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Address: 1818 N MEADE ST
    SUITE N347
    APPLETON, WI
    ZIP 54911
  • Phone: (920) 225-1449

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NPI Details

APPLETON CARDIAC & THORACIC SURGERY, S.C. is a thoracic surgery cardiothoracic vascular surgery in Appleton, WI. 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. APPLETON CARDIAC & THORACIC SURGERY, S.C. NPI is 1508045113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 N MEADE ST
SUITE N347
APPLETON, WI
ZIP 54911-454
Phone: (920) 225-1449
Fax: (920) 225-1425

The provider's authorized official is Lynn Kerkhoff .
The authorized official title is Manager and has the following contact phone number (920) 831-6135.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 11/7/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)44645WISCONSINYes

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
1G89528MEDICARE UPINWISCONSIN
234279900MEDICAIDWISCONSIN

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: 3/30/2025

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