Organization Active NPI

Thoracic Surgery Associates, LTD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Milwaukee, WI
National Provider Identifier
1497704324
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
14300 Issued in WI
Legal business name
THORACIC SURGERY ASSOCIATES, LTD
Practice address
3333 N Mayfair Rd
Suite 209
Milwaukee, WI 53222-3219
Phone
(414) 258-0670
NPI assigned
May 8, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
John F Just, MD
Title
President
Phone
(414) 258-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 14300 WI Primary

Addresses

Primary practice location

3333 N Mayfair Rd
Suite 209
Milwaukee, WI 53222-3219

Mailing address

3333 N Mayfair Rd
Suite 209
Milwaukee, WI 53222-3219
Phone (414) 258-0670

Other identifiers 2

IdentifierTypeStateIssuer
DE8852OtherRR MEDICARE
21301300MedicaidWV

National Provider Directory

National Provider Directory

Locations

3333 N Mayfair Rd
Ste 209
Milwaukee, WI 53222
Phone (414) 258-0670

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1497704324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 209",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-258-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 209",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-258-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC SURGERY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-258-0670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "14300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE8852",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21301300",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.