Appleton Cardiac & Thoracic Surgery, S.C.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

44645 Issued in WI

Legal business name

APPLETON CARDIAC & THORACIC SURGERY, S.C.

Practice address

1818 N Meade St
Suite N347
Appleton, WI 54911-3454

Phone

(920) 225-1449

Fax

(920) 225-1425

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Lynn Kerkhoff

Title

Manager

Phone

(920) 831-6135

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Ferrante, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Appleton, WI
  • NPI 1346226826
  NPD (past)
• Adam C Mielke, PA-C

  • Physician Assistant
  • Appleton, WI
  • NPI 1851314561
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1508045113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "address_2": "SUITE N347",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-225-1449",
            "fax_number": "920-225-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "address_2": "SUITE N347",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-225-1449",
            "fax_number": "920-225-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON CARDIAC & THORACIC SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KERKHOFF",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-831-6135"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "44645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34279900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apple Creek LTD
• Apple Creek Oral Surgery, SC
• Apple Medical Clinic SC
• Appleton Area Anesthesia & Pain Service SC
• Appleton Area School District
• Appleton Cardiology Associates SC
• Appleton Chiropractic, Inc.
• Appleton Community Birth Center
• Appleton Community Living LLC
• Appleton Counseling Management LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.