Mark R Bladergroen in Richmond - Thoracic Surgery (cardiothoracic Vascular Surgery)

Mark R Bladergroen - NPI 1124058342

Mark R Bladergroen is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Richmond, Virginia. Mark R Bladergroen practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Mark R Bladergroen is 1124058342. The last update date is 2023-03-07.

Mark R Bladergroen's current location address is 5875 Bremo Rd, Richmond, Virginia. You can contact this provider via phone number 8042877840 and fax number 8042877845. The mailing address for Mark R Bladergroen is 5875 Bremo Rd, Richmond, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark R Bladergroen
Address 5875 Bremo Rd, Richmond, Virginia
Phone Number 8042877840
Fax Number 8042877845
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124058342
Provider Enumeration Date 2006-07-04
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 5875 Bremo Rd
City Richmond
State Virginia (VA)
Post Code 232261934
Phone Number 8042877840
Fax Number 8042877845

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No 101042193
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
C06778 VA GROUP PTAN
7300221 VA --
101042193 VA MEDICAL LICENSE

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FAQs about Mark R Bladergroen

What is the Mark R Bladergroen's unique identification number?

The Mark R Bladergroen has been assigned the NPI (National Provider Identifier) Number 1124058342 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 physical address where Mark R Bladergroen is located?

The Mark R Bladergroen is situated at the following address: 5875 Bremo Rd, Richmond, VA, 232261934.

What is Mark R Bladergroen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark R Bladergroen's specialized field of practice is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of specialization is 208G00000X.

When did the Mark R Bladergroen receive its 1124058342?

The Mark R Bladergroen was issued its 1124058342 on 2006-07-04, which is the date when the organization was assigned this unique identifier.

When was the information regarding Mark R Bladergroen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark R Bladergroen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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