Active NPI
Lawnwood Cardiovascular Surgery LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Miami, FL
National Provider Identifier
1053080887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- LAWNWOOD CARDIOVASCULAR SURGERY LLC
- Practice address
- 3683 S Miami Ave Ste 500
Miami, FL 33133-4238 - Phone
- (786) 428-1059
- NPI assigned
- Sep 7, 2021
- Last updated
- Sep 7, 2021
- Organization subpart
- Yes
- Parent organization
- LAWNWOOD CARDIOVASCULAR SURGERY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Tedrick Johnson
- Title
- Vice President
- Phone
- (615) 372-3375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
3683 S Miami Ave Ste 500
Miami, FL 33133-4238
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-5426
National Provider Directory
National Provider Directory- Tax ID family
- Lawnwood Cardiovascular Surgery LLC
- Part of
- Lawnwood Cardiovascular Surgery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Plantation, FL
- NPI 1821661166
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Pierce, FL
- NPI 1386724169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630972800000",
"number": "1053080887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-372-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3683 S MIAMI AVE STE 500",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334238",
"telephone_number": "786-428-1059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWNWOOD CARDIOVASCULAR SURGERY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAWNWOOD CARDIOVASCULAR SURGERY LLC",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "TEDRICK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-372-3375"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.