Metropolitan Cardiac Surgical Associates LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD30329 Issued in DC

Legal business name

METROPOLITAN CARDIAC SURGICAL ASSOCIATES LLC

Practice address

4123 N Ridgeview Rd
MC Lean, VA 22101-5803

Phone

(202) 309-1880

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By 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. Kathleen R Petro, MD

Title

Sole Member

Phone

(202) 309-1880

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1235456757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 N RIDGEVIEW RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015803",
            "telephone_number": "202-309-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 N RIDGEVIEW RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015803",
            "telephone_number": "202-309-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARDIAC SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "202-309-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DC",
            "license": "MD30329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H33533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659395739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali N. Mesbahi, M.D.
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• Lucia Loreto Mesias Toro, P.T
• Erin Morey Metheny, LMFT
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• Stephanie Gail Metzger, DNP,RN,CPNP-PC,PMHS
• Jenna Elizabeth Meyers
• Audrey D Meza Amundaray, CSAC-S

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in McLean, VA
• Providers in McLean, VA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.