Active NPI
Southeastern Cardiovascular Associates PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dothan, AL
National Provider Identifier
1003834672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 00007208
- Legal business name
- SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC
- Practice address
- 2431 W Main St
Suite 1001
Dothan, AL 36301-1217 - Phone
- (334) 794-2825
- Fax
- (334) 793-5050
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward J Planz Jr., M. D.
- Title
- President
- Phone
- (334) 794-2825
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 00007208 | AL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 00007208 | AL | Primary |
Addresses
Primary practice location
2431 W Main St
Suite 1001
Dothan, AL 36301-1217
Mailing address
2431 W Main St
Suite 1001
Dothan, AL 36301-1217
Phone (334) 794-2825
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dothan, AL
- NPI 1255321279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376870400000",
"number": "1003834672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 W MAIN ST",
"address_2": "SUITE 1001",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011217",
"telephone_number": "334-794-2825",
"fax_number": "334-793-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 W MAIN ST",
"address_2": "SUITE 1001",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011217",
"telephone_number": "334-794-2825",
"fax_number": "334-793-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2013-08-19",
"status": "A",
"authorized_official_last_name": "PLANZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-794-2825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "00007208",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "00007208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Southeast Alabama Youth Services, Inc
- Southeast Cardiology Clinic Inc.
- Southeast Dental Works LLC
- Southeast Outpatient Addiction Recovery (Soar)
- Southeast Vein & Laser Center, P.C.
- Southeastern Chiropractic Associates,P.C.
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center
- Southeastern Pediatric Associates, P.a.
- Southeastern Psychological and Counseling Services, LLC
- Southeastern Urology, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.