NPIMap

Organization Active NPI

Thoracic and Cardiovascular Surgery Association

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Memphis, TN
National Provider Identifier
1356453773
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
THORACIC AND CARDIOVASCULAR SURGERY ASSOCIATION
Practice address
1325 Eastmoreland Ave
Suite 220
Memphis, TN 38104-3519
Phone
(901) 725-9450
Fax
(901) 462-0675
NPI assigned
Aug 31, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Glenn Phillip Schoettle, MDNPI 1710996624
Title
President
Phone
(901) 725-9450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary

Addresses

Primary practice location

1325 Eastmoreland Ave
Suite 220
Memphis, TN 38104-3519

Mailing address

1325 Eastmoreland Ave
Suite 220
Memphis, TN 38104-3519
Phone (901) 725-9450

National Provider Directory

National Provider Directory

Locations

6025 Walnut Grove Rd
Ste 405
Memphis, TN 38120
Phone (901) 537-1892

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1356453773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "address_2": "SUITE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-725-9450",
            "fax_number": "901-462-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "address_2": "SUITE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-725-9450",
            "fax_number": "901-462-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC AND CARDIOVASCULAR SURGERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "SCHOETTLE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-725-9450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.