Mark Andre Goncalves in Mobile - Thoracic Surgery (cardiothoracic Vascular Surgery)
Mark Andre Goncalves - NPI 1114925054
Mark Andre Goncalves is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Mobile, Alabama. Mark Andre Goncalves practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Mark Andre Goncalves is 1114925054. The last update date is 2015-12-22.
Mark Andre Goncalves's current location address is 1855 Springhill Ave, Mobile, Alabama. You can contact this provider via phone number 2514713544 and fax number 2514767254. The mailing address for Mark Andre Goncalves is 1855 Springhill Ave, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Andre Goncalves |
|---|---|
| Address | 1855 Springhill Ave, Mobile, Alabama |
| Phone Number | 2514713544 |
| Fax Number | 2514767254 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114925054 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2015-12-22 |
Provider Mailing Address Detail
| Address | 1855 Springhill Ave |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366072301 |
| Phone Number | 2514713544 |
| Fax Number | 2514767254 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 16419 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510-51956 | AL | BLUE CORSS BLUE SHIELD | |
| 87359 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Andre Goncalves by the Centers for Medicare & Medicaid Services?
The Mark Andre Goncalves has been issued the NPI (National Provider Identifier) 1114925054, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Andre Goncalves?
The Mark Andre Goncalves is physically situated at 1855 Springhill Ave, in the city of Mobile, state of AL, with the postal code 366072301.
What is the Mark Andre Goncalves's area of specialization and corresponding taxonomy classification?
The Mark Andre Goncalves's specialty field is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their specialties.
When did Mark Andre Goncalves receive its 1114925054 assignment?
The Mark Andre Goncalves was assigned its 1114925054 on 2005-07-13, which is the date when this unique identifier was issued to the organization.
When was the Mark Andre Goncalves's information last updated?
The Mark Andre Goncalves's information was last updated on 2015-12-22.