CARDIO VASCULAR THORACIC SURGERY LLC NPI 1831171370

NPI Information

  • NPI: 1831171370
  • Provider Name: CARDIO VASCULAR THORACIC SURGERY LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 520 S 7TH ST
    GOOD SAMARITIAN HOSPITAL
    VINCENNES, IN
    ZIP 47591
  • Phone: (812) 885-3243

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NPI Details

CARDIO VASCULAR THORACIC SURGERY LLC is a vascular surgery surgery in Vincennes, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CARDIO VASCULAR THORACIC SURGERY LLC NPI is 1831171370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 S 7TH ST
GOOD SAMARITIAN HOSPITAL
VINCENNES, IN
ZIP 47591-038
Phone: (812) 885-3243
Fax: (812) 885-3915

The provider's authorized official is Mario Matos-cruz .
The authorized official title is Owner and has the following contact phone number (812) 886-4383.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery01045697INDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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