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SPRINGFIELD HEART SURGEONS LLC NPI 1659328466


NPI Information

NPI: 1659328466
Provider Name: SPRINGFIELD HEART SURGEONS LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
1671 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 324-5511
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SPRINGFIELD HEART SURGEONS LLC is a thoracic surgery cardiothoracic vascular surgery in Springfield, 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. SPRINGFIELD HEART SURGEONS LLC NPI is 1659328466. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1671 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503-646
Phone: (937) 324-5511
Fax: (937) 398-0652

The provider's authorized official is Surender R Neravetla .
The authorized official title is Md / Owner and has the following contact phone number (937) 215-9076.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 11/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12642868MEDICAIDOHIO

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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