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PENNSYLVANIA CARDIOTHORACIC SURGERY INC. NPI 1548268550


NPI Information

NPI: 1548268550
Provider Name: PENNSYLVANIA CARDIOTHORACIC SURGERY INC.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
545 N RIVER ST
SUITE 130
WILKES BARRE, PA
ZIP 18702
Phone: (570) 270-4455
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PENNSYLVANIA CARDIOTHORACIC SURGERY INC. is a thoracic surgery cardiothoracic vascular surgery in Wilkes Barre, PA. 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. PENNSYLVANIA CARDIOTHORACIC SURGERY INC. NPI is 1548268550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

545 N RIVER ST
SUITE 130
WILKES BARRE, PA
ZIP 18702-600
Phone: (570) 270-4455
Fax: (570) 270-4884

The provider's authorized official is Michael D. Harostock .
The authorized official title is President and has the following contact phone number (570) 270-4455.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/13/2014.


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)MD028903EPENNSYLVANIAYes

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
1780002061OTHERPENNSYLVANIARR MEDICARE
20018673110002MEDICAIDPENNSYLVANIA
3CJ3345OTHERPENNSYLVANIARR MEDICARE (GROUP)
4051645MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAGROUP
50009611590006MEDICAIDPENNSYLVANIA

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: 5/5/2024

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