Southwest Washington Thoracic and Vascular Surgery PS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHWEST WASHINGTON THORACIC AND VASCULAR SURGERY PS

Practice address

200 NE Mother Joseph PL
Suite 330
Vancouver, WA 98664-3299

Phone

(360) 514-1854

Fax

(360) 514-6063

NPI assigned

Aug 17, 2006

Last updated

Mar 3, 2009By 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

Kurt C Litvin

Title

Exec. Director

Phone

(360) 735-8100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1275647422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SE STONEMILL DR.",
            "address_2": "SUITE 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843514",
            "telephone_number": "360-735-3480",
            "fax_number": "360-735-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL",
            "address_2": "SUITE 330",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643299",
            "telephone_number": "360-514-1854",
            "fax_number": "360-514-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WASHINGTON THORACIC AND VASCULAR SURGERY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "LITVIN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "360-735-8100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Washington Med Ctr Outpatient Pharmacy
• Southwest Washington Medical Center
• Southwest Washington Medical Center Anticoagulation Clinic
• Southwest Washington Regional Health Alliance (Southwest Washington Accountable Community of Health)
• Southwest Washington Regional Surgery Center, LLC
• Spencer William Southwick, PT
• Cole Southworth, DO
• Douglyn Souza, MA60508040
• Tanner William Souza
• Morgan Spady, MA70087679

• Surgery Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.