Golden Triangle Cardiothoracic and Vascular Surgery

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

12525 Issued in ND

Legal business name

GOLDEN TRIANGLE CARDIOTHORACIC AND VASCULAR SURGERY

Practice address

2300 Highway 365
Ste 420
Nederland, TX 77627-6256

Phone

(409) 722-7001

Fax

(409) 722-7002

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Saeed Ally, M.D.

Title

Managing Member

Phone

(409) 722-7001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1053610089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE 420",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-722-7001",
            "fax_number": "409-722-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE 420",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-722-7001",
            "fax_number": "409-722-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE CARDIOTHORACIC AND VASCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "ALLY",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "409-722-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "12525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160566901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Tsukuru Fukuda
• Leticia Sue Garcia, D.D.S.
• Sarah Lynn Gassen, RN
• William Dewitt George Jr., M.D.
• Gerardo a Chica, M.D.,P.a.
• Gerzain Whitney Gomez, D.D.S.
• Chase Donavon Gordon, DDS
• Odis Wayne Gossett, M.D.
• George Wayne Graham, PHD
• Kristen Freeman Gregory, LCSW

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Nederland, TX
• Providers in Nederland, 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 Oct 9, 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.

Verify at the official NPI Registry.