Heart and Vascular Care, P. C.
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lamar, MO
NPI 1356598577 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1356598577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- HEART AND VASCULAR CARE, P. C.
- Practice address
- 805 Gulf St
Lamar, MO 64759-1238 - Phone
- (417) 782-2190
- Fax
- (417) 782-6750
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Mark Graham, M. D.
- Title
- President
- Phone
- (417) 782-2190
Corporate family (same tax ID) 5
Practitioners 1
-
Susan M Gutierrez, FNP
National Provider Directory
- Tax ID family
- Heart and Vascular Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
805 Gulf St
Lamar, MO 64759-1238
Mailing address
2817 McClelland Blvd
Suite 220
Joplin, MO 64804-1629
Phone (417) 782-2190
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506041805 | Medicaid | MO |
Other providers in Lamar, MO
- Charles Thomas Fielder
- Keith Frieling
- Rochelle Gardner
- Alana Gilmartin
- Elizabeth Dawn Harris
- Helping Hearts, Inc
- Rachel Jorge Henderson
- Yvette Hermsen-Gordon
- Adam Hewitt
- Sarah Ann Higdon
All providers in Lamar, MO · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.