Organization Active NPI

Cardiothoracic Surgery, LLC

  • Surgery Physician
  • Scranton, PA
National Provider Identifier
1245331669
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CARDIOTHORACIC SURGERY, LLC
Practice address
1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 963-1740
Fax
(570) 963-5780
NPI assigned
Sep 26, 2006
Organization subpart
Yes
Parent organization
CMCIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Ms. Sherry A Dean
Title
Practice Manager
Phone
(570) 963-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510-2369

Mailing address

1360 Wyoming Ave
Scranton, PA 18509-2803
Phone (570) 963-1740

Other names 1

  • Premiere Surgical Doing business as

National Provider Directory

National Provider Directory
Part of
Community Medical Care Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1245331669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092803",
            "telephone_number": "570-963-1740",
            "fax_number": "570-963-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-963-1740",
            "fax_number": "570-963-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMCI",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-963-1740",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.