Thomas P Barragry, M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Mequon, WI
NPI 1659350643 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1659350643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 31872 (WI)
- Practice address
- 5209 W River Trail CT
Mequon, WI 53092-4877 - Phone
- (414) 331-2850
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31872 | WI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Advanced Healthcare SC | Past | Accepting new patients | |
| Cardiovascular Surgery Associates S.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 31872 | WI | Yes |
Addresses
Primary practice location
5209 W River Trail CT
Mequon, WI 53092-4877
Mailing address
5209 W River Trail CT
Mequon, WI 53092-4877
Phone (414) 331-2850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31710800 | Medicaid | WI |
Other providers in Mequon, WI
- Balance Chiropractic Center, LLC
- Lynne Bannon
- Kevin Andrew Banse Jr.
- Gina Barboni
- Aisha Barkow
- John Joseph Barrett
- Mary E Barrett
- Anne E Bartel
- Kassandra Bartelme
- Edward N Barthell
All providers in Mequon, WI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.