Suffolk Thoracic Surgery Associates

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

204395 Issued in NY

Legal business name

SUFFOLK THORACIC SURGERY ASSOCIATES

Practice address

23 Pheasant LN
East Setauket, NY 11733-2634

Phone

(631) 350-1909

Fax

(631) 368-1538

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sheppard Clark Webb, M.D.

Title

Owner

Phone

(631) 350-1909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1215303441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PHEASANT LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332634",
            "telephone_number": "631-350-1909",
            "fax_number": "631-368-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PHEASANT LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332634",
            "telephone_number": "631-350-1909",
            "fax_number": "631-368-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK THORACIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "SHEPPARD",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-350-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "204395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suffolk Ambulatory Surgery, PLLC
• Suffolk Medical Associates PLLC
• Suffolk Nurse Practitioner in Family Health PC
• Suffolk Plastic Surgeons, PC
• Suffolk Pulmonary and Sleep Disorder, PC
• Heesuck Suh, M.D.
• Edward Sun, MD
• Supreme Medical P.C.
• Raeysha Surendran, MS, ATC
• Howard Sussman, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.