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MPPG INC. NPI 1770644841


NPI Information

NPI: 1770644841
Provider Name: MPPG, INC.

Doing Business As: CARDIOVASCULAR & THORACIC SURGERY ASSOCIATION

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
4750 WATERS AVE
SUITE 452
SAVANNAH, GA
ZIP 31404
Phone: (912) 354-7188
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MPPG, INC. is a thoracic surgery cardiothoracic vascular surgery in Savannah, GA. 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. MPPG, INC. NPI is 1770644841. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiovascular & Thoracic Surgery Association.

The provider's business location address is:

4750 WATERS AVE
SUITE 452
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 354-7188
Fax: (912) 354-5208

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/31/2011.


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)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
1CH5121OTHERGEORGIARAILROAD MEDICARE GROUP
2GPA594MEDICAIDSOUTH CAROLINA
3GRP3905MEDICARE PINGEORGIA
4300031676AMEDICAIDGEORGIA

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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