John R Stanford in Fort Wayne - Thoracic Surgery (cardiothoracic Vascular Surgery)

John R Stanford - NPI 1639171499

John R Stanford is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Fort Wayne, Indiana. John R Stanford practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for John R Stanford is 1639171499. The last update date is 2007-07-08.

John R Stanford's current location address is 2414 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604824741 and fax number 2604823051. The mailing address for John R Stanford is 2414 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Stanford
Address 2414 E State Blvd, Fort Wayne, Indiana
Phone Number 2604824741
Fax Number 2604823051
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1639171499
Provider Enumeration Date 2005-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2414 E State Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468054760
Phone Number 2604824741
Fax Number 2604823051

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No 01028422A
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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FAQs about John R Stanford

What is the unique 10-digit identifier code assigned to John R Stanford by the Centers for Medicare & Medicaid Services?

The John R Stanford has been issued the NPI (National Provider Identifier) 1639171499 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John R Stanford?

The John R Stanford is physically situated at 2414 E State Blvd, in the city of Fort Wayne, state of IN, with the postal code 468054760.

What is John R Stanford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John R Stanford is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that classifies this field of practice is 208G00000X.

On what date did the John R Stanford receive the assignment of its 1639171499 from the Centers for Medicare & Medicaid Services?

The John R Stanford was issued its 1639171499 by the Centers for Medicare & Medicaid Services on 2005-08-11.

When was the information regarding John R Stanford most recently updated?

The details pertaining to the John R Stanford, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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