Organization Active NPI

Cardiovascular & Thoracic Surgery of Altoona, Inc.

  • Specialist
  • Altoona, PA
National Provider Identifier
1114983673
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOVASCULAR & THORACIC SURGERY OF ALTOONA, INC.
Practice address
620 Howard Ave
BLDG 7-F
Altoona, PA 16601-4804
Phone
(814) 946-2328
Fax
(814) 946-7724
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Michele Fox
Title
Billing Manager
Phone
(814) 889-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

620 Howard Ave
BLDG 7-F
Altoona, PA 16601-4804

Mailing address

620 Howard Ave
BLDG 7-F
Altoona, PA 16601-4804
Phone (814) 946-2328

Other identifiers 1

IdentifierTypeStateIssuer
0012720790001MedicaidPA

National Provider Directory

National Provider Directory

Locations

620 Howard Ave
#7
Altoona, PA 16601
Phone (814) 946-2328

Practitioners & affiliated clinicians

Practitioners 1

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1114983673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "address_2": "BLDG 7-F",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-946-2328",
            "fax_number": "814-946-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "address_2": "BLDG 7-F",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-946-2328",
            "fax_number": "814-946-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR & THORACIC SURGERY OF ALTOONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "814-889-7707"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012720790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

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