Center for Cardiothoracic Surgery, Inc

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

112379 Issued in MO

Legal business name

CENTER FOR CARDIOTHORACIC SURGERY, INC

Practice address

10004 Kennerly Rd
Suite 165B
Saint Louis, MO 63128-2141

Phone

(314) 543-5268

Fax

(314) 543-5202

NPI assigned

Jul 31, 2006

Last updated

Feb 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hon CHI Suen, MD

Title

President

Phone

(314) 439-0368

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1235144601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13218 HAWKSHEAD CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311050",
            "telephone_number": "314-439-0368",
            "fax_number": "314-439-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 165B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-543-5268",
            "fax_number": "314-543-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CARDIOTHORACIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "SUEN",
        "authorized_official_first_name": "HON CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-439-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "112379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501467609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Louis, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.