NPIMap

Organization Active NPI

Cardiothoracic Surgery Associates, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Swansea, IL
National Provider Identifier
1073548608
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIOTHORACIC SURGERY ASSOCIATES, P.C.
Practice address
9 Park PL Ste B
Swansea, IL 62226-2967
Phone
(618) 233-5722
Fax
(618) 233-7069
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Bill Bates Daily Jr., M.D.
Title
President
Phone
(618) 233-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

9 Park PL Ste B
Swansea, IL 62226-2967

Mailing address

9 Park PL Ste B
Swansea, IL 62226-2967
Phone (618) 233-5722

Other identifiers 4

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN#
102265OtherMOMISSOURI LICENSE
118539OtherMOMISSOURI LICENSE
2003008000OtherMOMISSOURI LICENSE

National Provider Directory

National Provider Directory

Locations

12 Park Pl
Ste B
Swansea, IL 62226
Phone (618) 233-5722

9 Park Pl
Swansea, IL 62226
Phone (618) 233-5722

9 Park Pl
Ste B
Swansea, IL 62226
Phone (618) 233-5722

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1073548608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PARK PL STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-233-5722",
            "fax_number": "618-233-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PARK PL STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-233-5722",
            "fax_number": "618-233-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "DAILY",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "BATES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-233-5722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN#",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "102265",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "118539",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2003008000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.