Samuel Porter Jacks in Charlotte - Thoracic Surgery (cardiothoracic Vascular Surgery)
Samuel Porter Jacks - NPI 1184828030
Samuel Porter Jacks is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Charlotte, North Carolina. Samuel Porter Jacks practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Samuel Porter Jacks is 1184828030. The last update date is 2020-10-25.
Samuel Porter Jacks's current location address is Po Box 60447, Charlotte, North Carolina. You can contact this provider via phone number 3367689535 and fax number 3367684155. The mailing address for Samuel Porter Jacks is Po Box 60447, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Porter Jacks |
|---|---|
| Address | Po Box 60447, Charlotte, North Carolina |
| Phone Number | 3367689535 |
| Fax Number | 3367684155 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184828030 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | Po Box 60447 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282600447 |
| Phone Number | 3367689535 |
| Fax Number | 3367684155 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 2015-01953 |
|
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 |
|---|---|---|---|
| 5979900 | FL | -- | |
| 003125978A | GA | -- | |
| P01084809 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Samuel Porter Jacks's unique identification number?
The Samuel Porter Jacks has been assigned the NPI (National Provider Identifier) Number 1184828030 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Samuel Porter Jacks is physically located?
The Samuel Porter Jacks is situated at the following address: Po Box 60447, Charlotte, NC 282600447.
What is the Samuel Porter Jacks's area of specialization and corresponding taxonomy classification?
The Samuel Porter Jacks'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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184828030 to Samuel Porter Jacks?
The Centers for Medicare & Medicaid Services originally issued the 1184828030 to Samuel Porter Jacks on 2007-06-13.
As of what date were the details pertaining to Samuel Porter Jacks last refreshed?
The information related to the Samuel Porter Jacks, including its address, specialty, and other relevant details, was last updated on 2020-10-25.
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