NPIMap

Organization Active NPI

Stanford University

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Stanford, CA
National Provider Identifier
1518490291
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
STANFORD UNIVERSITY
Practice address
401 Quarry Rd
Stanford, CA 94305
Phone
(847) 644-0786
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Marcy Kulakow
Title
Registrar Stanford Gme
Phone
(650) 723-5948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

401 Quarry Rd
Stanford, CA 94305

Mailing address

2515 Kemper Rd
Apt 510
Shaker Heights, OH 44120-5500
Phone (847) 644-0786

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Clinicob17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1518490291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 KEMPER RD",
            "address_2": "APT 510",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205500",
            "telephone_number": "847-644-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "847-644-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "KULAKOW",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "REGISTRAR STANFORD GME",
        "authorized_official_telephone_number": "650-723-5948"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.