Dayton Cardiac Surgery

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35088325 Issued in OH

Legal business name

DAYTON CARDIAC SURGERY

Practice address

627 S Edwin C Moses Blvd
Suite Emp 5J
Dayton, OH 45417-3461

Phone

(937) 938-9194

Fax

(937) 938-9242

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj Kulshrestha, M.D.

Title

President

Phone

(937) 938-9194

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1295059129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750243",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750243",
            "telephone_number": "937-938-9194",
            "fax_number": "937-938-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S EDWIN C MOSES BLVD",
            "address_2": "SUITE EMP 5J",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173461",
            "telephone_number": "937-938-9194",
            "fax_number": "937-938-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CARDIAC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "KULSHRESTHA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-938-9194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35088325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Anesthesia & Pain Services, LLC
• Dayton Anesthesia Associates Inc
• Dayton Arthritis and Allergy Center LLC
• Dayton Behavioral Care, LLC
• Dayton Cardiac Electrophysiology Associates, Inc.
• Dayton Cardiology and Vasc Cons Inc
• Dayton Cardiology Consultants Inc
• Dayton Cardiology Consultants Inc
• Dayton Care, LLC
• Dayton Career Tech High School

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.