Organization Active NPI

Landreneau Thoracic Surgical Associates, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kittanning, PA
National Provider Identifier
1447625736
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD42702L Issued in PA
Legal business name
LANDRENEAU THORACIC SURGICAL ASSOCIATES, PC
Practice address
600 Medical Arts BLDG
Suite 660
Kittanning, PA 16201-7134
Phone
(724) 548-3813
Fax
(724) 548-3814
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Rodney Landreneau, M.D.
Title
M.D.
Phone
(724) 548-3813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X MD42702L PA Primary

Addresses

Primary practice location

600 Medical Arts BLDG
Suite 660
Kittanning, PA 16201-7134

Mailing address

600 Medical Arts BLDG
Suite 660
Kittanning, PA 16201-7134
Phone (724) 548-3813

Other identifiers 1

IdentifierTypeStateIssuer
001219160MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1447625736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL ARTS BLDG",
            "address_2": "SUITE 660",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017134",
            "telephone_number": "724-548-3813",
            "fax_number": "724-548-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL ARTS BLDG",
            "address_2": "SUITE 660",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017134",
            "telephone_number": "724-548-3813",
            "fax_number": "724-548-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRENEAU THORACIC SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "LANDRENEAU",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "724-548-3813",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD42702L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001219160",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.