SD Cardiothoracic Services, Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35 092044 Issued in OH

Legal business name

SD CARDIOTHORACIC SERVICES, INC.

Practice address

1069 Delaware Ave
Marion, OH 43302-1400

Phone

(716) 812-2047

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Subhajit Datta, M.D.NPI 1659336485

Title

President

Phone

(716) 812-2047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Subhajit Datta, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Marion, OH
  • NPI 1659336485
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1568893808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 BEAN OLLER RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159220",
            "telephone_number": "716-812-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021400",
            "telephone_number": "716-812-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD CARDIOTHORACIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "SUBHAJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-812-2047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35 092044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Marion, OH
• Providers in Marion, 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 Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.