Organization Active NPI

Capital Cardiothoracic, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Montgomery, AL
National Provider Identifier
1124172242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
23435 Issued in AL
Legal business name
CAPITAL CARDIOTHORACIC, PC
Practice address
1758 Park PL
Suite 202
Montgomery, AL 36106-1127
Phone
(334) 264-7156
Fax
(334) 264-7681
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen K Kwan, M.D.
Title
President
Phone
(334) 264-7156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 23435 AL Primary

Addresses

Primary practice location

1758 Park PL
Suite 202
Montgomery, AL 36106-1127

Mailing address

1758 Park PL
Suite 202
Montgomery, AL 36106-1127
Phone (334) 264-7156

National Provider Directory

National Provider Directory

Locations

1758 Park Pl
Ste 202
Montgomery, AL 36106
Phone (334) 264-7156

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124172242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "address_2": "SUITE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "334-264-7156",
            "fax_number": "334-264-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "address_2": "SUITE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "334-264-7156",
            "fax_number": "334-264-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CARDIOTHORACIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-264-7156",
        "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": "AL",
            "license": "23435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.