Palm Beach Thoracic Surgery, PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME99916 Issued in FL

Legal business name

PALM BEACH THORACIC SURGERY, PA

Practice address

5162 Linton Blvd Ste 102
Delray Beach, FL 33484-6567

Phone

(561) 766-0834

Fax

(561) 948-1682

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Waxman, MD

Title

Physician /Owner

Phone

(561) 766-0834

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043712177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-766-0834",
            "fax_number": "561-948-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-766-0834",
            "fax_number": "561-948-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH THORACIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN /OWNER",
        "authorized_official_telephone_number": "561-766-0834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME99916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.