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OAK NORTH NPI 1649682485


NPI Information

NPI: 1649682485
Provider Name: OAK NORTH
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
773 MAIN ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 870-1300
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OAK NORTH is a thoracic surgery cardiothoracic vascular surgery in Manchester, CT. 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. OAK NORTH NPI is 1649682485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

773 MAIN ST
MANCHESTER, CT
ZIP 06040-102
Phone: (860) 870-1300
Fax: (860) 870-1306

The provider's authorized official is Constantinos Constantinou .
The authorized official title is Manager and has the following contact phone number (914) 450-4038.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 12/5/2022.


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)043819CONNECTICUTYes

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
1001438193MEDICAIDCONNECTICUT

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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