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THOMAS W PRENDERGAST MD NPI 1881617645


NPI Information

NPI: 1881617645
Provider Name: THOMAS W PRENDERGAST, MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2005 FAIRVIEW AVE
SUITE A
EASTON, PA
ZIP 18042
Phone: (610) 923-5200
Get Directions

Thomas W Prendergast, MD is a thoracic surgery cardiothoracic vascular surgery in Easton, 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. Thomas W Prendergast, MD NPI is 1881617645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2005 FAIRVIEW AVE
SUITE A
EASTON, PA
ZIP 18042-915
Phone: (610) 923-5200
Fax: (610) 923-5272

The NPI 1881617645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 9/20/2016.


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)25MA06864200NEW JERSEYNo
2204F00000XTransplant Surgery25MA06864200NEW JERSEYNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)2015010868MISSOURINo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD064702LPENNSYLVANIAYes

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
1023273M4EMEDICARE PINNEW JERSEY
27496303MEDICAIDNEW JERSEY
3023273BT5MEDICARE PINNEW JERSEY
4023273MEDICARE PIN
5023273NAHMEDICARE PINNEW JERSEY
6P007151069OTHERNEW JERSEYRR MCR
7A66261MEDICARE UPIN
8023273C50MEDICARE PINNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.