Fort Wayne Cardiovascular Surgeons, Pc in Fort Wayne - Thoracic Surgery (cardiothoracic Vascular Surgery)
Fort Wayne Cardiovascular Surgeons, Pc - NPI 1679551741
Fort Wayne Cardiovascular Surgeons, Pc is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Fort Wayne, Indiana. Fort Wayne Cardiovascular Surgeons, Pc practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Fort Wayne Cardiovascular Surgeons, Pc is 1679551741. The last update date is 2007-10-22.
Fort Wayne Cardiovascular Surgeons, Pc's current location address is 1818 Carew St, Fort Wayne, Indiana. You can contact this provider via phone number 2604836448 and fax number 2603734167. The mailing address for Fort Wayne Cardiovascular Surgeons, Pc is 1818 Carew St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Cardiovascular Surgeons, Pc |
|---|---|
| Address | 1818 Carew St, Fort Wayne, Indiana |
| Phone Number | 2604836448 |
| Fax Number | 2603734167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gray L Douglas |
| Credentials | MD |
| Telephone Number | 2604836448 |
NPI Number Detail
| NPI Number | 1679551741 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 1818 Carew St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054788 |
| Phone Number | 2604836448 |
| Fax Number | 2603734167 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C15472 | IN | TRAVELERS MEDICARE |
Post Comment/ Review Below
What is the Fort Wayne Cardiovascular Surgeons, Pc's 1679551741?
The Fort Wayne Cardiovascular Surgeons, Pc's NPI (National Provider Identifier) Number is 1679551741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fort Wayne Cardiovascular Surgeons, Pc located?
The Fort Wayne Cardiovascular Surgeons, Pc is located at 1818 Carew St, Fort Wayne, IN 468054788.
What is Fort Wayne Cardiovascular Surgeons, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fort Wayne Cardiovascular Surgeons, Pc's area of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this field of practice is 208G00000X.
On what date did the Fort Wayne Cardiovascular Surgeons, Pc receive the assignment of its 1679551741 from the Centers for Medicare & Medicaid Services?
The Fort Wayne Cardiovascular Surgeons, Pc was issued its 1679551741 by the Centers for Medicare & Medicaid Services on 2006-01-09.
When was the information regarding Fort Wayne Cardiovascular Surgeons, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fort Wayne Cardiovascular Surgeons, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-22.
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