Active NPI
University Cardiac & Thoracic Surgical Group, Inc.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cleveland, OH
National Provider Identifier
1457384661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- UNIVERSITY CARDIAC & THORACIC SURGICAL GROUP, INC.
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-5770
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel W Vanheeckeren, MD
- Title
- Department Chairman
- Phone
- (216) 844-3053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
5910 Landerbrook Dr
Suite 250
Mayfield HTS, OH 44124-6508
Phone (440) 684-5979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054806 | Medicaid | OH | |
| CN7867 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457384661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 LANDERBROOK DR",
"address_2": "SUITE 250",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441246508",
"telephone_number": "440-684-5979",
"fax_number": "440-449-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-5770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY CARDIAC & THORACIC SURGICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VANHEECKEREN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DEPARTMENT CHAIRMAN",
"authorized_official_telephone_number": "216-844-3053",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN7867",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- Universal Medical Administration, LLC
- Universal Medical Adminstration, LLC
- Universith Hospitals Medical Group, Inc
- University Anesthesiologists of NE Ohio, LLC.
- University Anesthesiologists, Inc.
- University Family Medicine Association
- University Genetics
- University Healthcare LLC
- University Heights Dental - Dina Fixler DMD, LLC (University Heights Dental)
- University Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.