NPIMap

Organization Active NPI

Flagship Cardiac Vascular and Thoracic Surgery of Erie, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Erie, PA
National Provider Identifier
1053373746
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
FLAGSHIP CARDIAC VASCULAR AND THORACIC SURGERY OF ERIE, PC
Practice address
120 E 2ND St
Erie, PA 16507-1537
Phone
(814) 453-6751
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Cindy Sue Fellows
Title
Office Manager
Phone
(814) 453-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

120 E 2ND St
Erie, PA 16507-1537

Mailing address

120 E 2ND St
Erie, PA 16507-1537
Phone (814) 453-6751

Other identifiers 1

IdentifierTypeStateIssuer
CA2015OtherPARAILROAD MEDICARE

Other names 1

  • FLAGSHIP CVTS Doing business as

National Provider Directory

National Provider Directory

Locations

120 E 2nd St
Fl Fourth
Erie, PA 16507
Phone (814) 453-6751

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1053373746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-453-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-453-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP CARDIAC VASCULAR AND THORACIC SURGERY OF ERIE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-453-6751"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLAGSHIP CVTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.