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CARDIOVASCULAR SURGERY WTWK NPI 1912913526


NPI Information

NPI: 1912913526
Provider Name: CARDIOVASCULAR SURGERY WTWK
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
801 MACARTHUR BLVD
SUITE 205
MUNSTER, IN
ZIP 46321
Phone: (219) 836-4944
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CARDIOVASCULAR SURGERY WTWK is a thoracic surgery cardiothoracic vascular surgery in Munster, IN. 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. CARDIOVASCULAR SURGERY WTWK NPI is 1912913526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 MACARTHUR BLVD
SUITE 205
MUNSTER, IN
ZIP 46321
Phone: (219) 836-4944
Fax: (219) 836-5852

The provider's authorized official is Cris J Carlos .
The authorized official title is Md and has the following contact phone number (219) 836-4944.

The enumeration date for this NPI number is 8/1/2006 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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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