Organization Active NPI

Boca Cardiac Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boca Raton, FL
National Provider Identifier
1154745875
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BOCA CARDIAC SURGERY LLC
Practice address
801 Meadows Rd
Suite 104
Boca Raton, FL 33486-2346
Phone
(561) 955-6300
Fax
(561) 955-6310
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Richard G. Cartledge, M.D.
Title
Sole Manager
Phone
(561) 955-6300

Specialties & licenses 1

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

Addresses

Primary practice location

801 Meadows Rd
Suite 104
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd
Suite 104
Boca Raton, FL 33486-2346
Phone (561) 955-6300

National Provider Directory

National Provider Directory

Locations

801 Meadows Rd
Ste 104
Boca Raton, FL 33486
Phone (561) 955-5300

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1154745875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-955-6300",
            "fax_number": "561-955-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-955-6300",
            "fax_number": "561-955-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA CARDIAC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "CARTLEDGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SOLE MANAGER",
        "authorized_official_telephone_number": "561-955-6300",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.