Active NPI
Cardiovascular and Thoracic Surgeons of Greensboro
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Greensboro, NC
National Provider Identifier
1104882026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- CARDIOVASCULAR AND THORACIC SURGEONS OF GREENSBORO
- Practice address
- 2704 Henry St
Greensboro, NC 27405-3633 - Phone
- (336) 621-3777
- Fax
- (336) 621-8374
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth S Ward
- Title
- Chief Financial Officer
- Phone
- (336) 832-8005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
2704 Henry St
Greensboro, NC 27405-3633
Mailing address
PO Box 13605
Greensboro, NC 27415-3605
Phone (336) 832-9943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01178 | Other | BCBS GROUP NUMBER | |
| 8901178 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2704 Henry St
Greensboro, NC 27405
Phone (336) 621-3777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Greensboro, NC
- NPI 1679578652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1104882026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13605",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274153605",
"telephone_number": "336-832-9943",
"fax_number": "336-832-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 HENRY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053633",
"telephone_number": "336-621-3777",
"fax_number": "336-621-8374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR AND THORACIC SURGEONS OF GREENSBORO",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "336-832-8005"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"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": "BCBS GROUP NUMBER",
"identifier": "01178",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901178",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.