Center for Vascular and Thoracic Medicine and Surgery, Inc

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35053879 Issued in OH

Legal business name

CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY, INC

Practice address

2173 N Ridge Rd E
Suite a
Lorain, OH 44055-3400

Phone

(440) 277-5077

Fax

(440) 277-6696

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Klekota, CPCS

Title

Credentialing Coordinator

Phone

(440) 233-1003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1467553206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E",
            "address_2": "SUITE A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553400",
            "telephone_number": "440-277-5077",
            "fax_number": "440-277-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E",
            "address_2": "SUITE A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553400",
            "telephone_number": "440-277-5077",
            "fax_number": "440-277-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VASCULAR AND THORACIC MEDICINE AND SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "KLEKOTA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "440-233-1003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35053879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0636306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dymond Shanel Caver
• Rebecca Jeanette Cawrse
• Alyssa Cawthon, QMHS 3YRS CMS
• Shana L Ceccoli, PT
• Center for Orthopedics, Inc
• Yaribell Cerda
• Lilliana Chaffin
• Sara Lyn Chambers-Rider
• Deborah Chambers
• Destiny Champe, LSW

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lorain, OH
• Providers in Lorain, 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 Nov 2, 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.