Organization Active NPI

Columbus Cardiovascular and Thoracic Surgery Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
National Provider Identifier
1114021797
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35038137T Issued in OH
Legal business name
COLUMBUS CARDIOVASCULAR AND THORACIC SURGERY INC
Practice address
1750 Churchview LN
Columbus, OH 43220-4902
Phone
(614) 271-2166
Fax
(614) 451-0178
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
John W. Thomas, M.D.
Title
Owner
Phone
(614) 271-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 35038137T OH Primary

Addresses

Primary practice location

1750 Churchview LN
Columbus, OH 43220-4902

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1982

Other identifiers 1

IdentifierTypeStateIssuer
0289923MedicaidOH

National Provider Directory

National Provider Directory

Locations

Dept L 2059
Columbus, OH 43260

Dept L2059
Columbus, OH 43260

8892 Commerce Loop Dr
Columbus, OH 43240
Phone (614) 228-5833

4236 E Broad St
#13149
Columbus, OH 43213

200 Bradenton Ave
Dublin, OH 43017
Phone (614) 793-1080

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1114021797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CHURCHVIEW LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204902",
            "telephone_number": "614-271-2166",
            "fax_number": "614-451-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CARDIOVASCULAR AND THORACIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-271-2166",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35038137T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289923",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.