Basin Cardiothoracic Surgical Associates

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

F3635 Issued in TX

Legal business name

BASIN CARDIOTHORACIC SURGICAL ASSOCIATES

Practice address

3001 W Illinois Ave
3001 W. Illinois, Suite 1a
Midland, TX 79701-3180

Phone

(432) 682-2191

Fax

(432) 682-1707

NPI assigned

Oct 18, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph G Suckarieh, M.D.

Title

Owner

Phone

(432) 682-2191

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033108501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W ILLINOIS AVE",
            "address_2": "3001 W. ILLINOIS, SUITE 1A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013180",
            "telephone_number": "432-682-2191",
            "fax_number": "432-682-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W ILLINOIS AVE",
            "address_2": "3001 W. ILLINOIS, SUITE 1A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013180",
            "telephone_number": "432-682-2191",
            "fax_number": "432-682-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN CARDIOTHORACIC SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUCKARIEH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-682-2191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F3635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Crisostomo Bartolome, DPT
• Jennifer Michelle Barton, LCDC
• Abigail Barzyk, PA-S
• Basin Body
• Basin Cardiothoracic & Vascular Surgery Associates
• Basin Dermatology
• Basin Neurosurgical and Spine Associates
• Basin Pediatrics, LLC (Basin Pediatrics)
• Basin Rheumatology PLLC
• Basin Urgent Care

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Midland, TX
• Providers in Midland, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.