Thoracic & Vascular Surgical Specialty Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD418715 Issued in PA

Legal business name

THORACIC & VASCULAR SURGICAL SPECIALTY SERVICES

Practice address

20 Expedition TRL
Suite 110B
Gettysburg, PA 17325-8598

Phone

(443) 676-6505

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Cimenga M Tshibaka, M.D.

Title

President

Phone

(443) 676-6505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1609275478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "address_2": "SUITE 110B",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "443-676-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "address_2": "SUITE 110B",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "443-676-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC & VASCULAR SURGICAL SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "TSHIBAKA",
        "authorized_official_first_name": "CIMENGA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-676-6505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD418715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Meadows at Gettysburg for Nursing and Rehabilitation LLC
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• Amy Kathryn Thomas, COTAL
• Christine Pittman Thomas, P.T.
• Sara Therese Thompson, LCSW, CAADC
• Elizabeth Laurel Tigner
• Shannon Tracey, BS
• Transitions Healthcare Gettyburg LLC
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• Joseph E Tripi, MD

• Specialist in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.