Active NPI
Thoracic & Cardiovascular Surgery Inc PS
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Yakima, WA
National Provider Identifier
1659438869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- THORACIC & CARDIOVASCULAR SURGERY INC PS
- Practice address
- 602 N 39TH Ave
200
Yakima, WA 98902 - Phone
- (509) 452-0279
- Fax
- (509) 457-6306
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lori A Burrell
- Title
- Office Manager
- Phone
- (509) 452-0279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
602 N 39TH Ave
200
Yakima, WA 98902
Mailing address
602 N 39TH Ave
200
Yakima, WA 98902
Phone (509) 452-0279
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048700 | Other | WA | LABOR & INDUSTRIES |
| 7059694 | Medicaid | WA | |
| 8902478 | Other | WA | CRIME VICTIMS |
National Provider Directory
National Provider DirectoryLocations
1005 W Walnut St
Ste 203
Yakima, WA 98902
Phone (509) 452-0279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1659438869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N 39TH AVE",
"address_2": "200",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-452-0279",
"fax_number": "509-457-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N 39TH AVE",
"address_2": "200",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-452-0279",
"fax_number": "509-457-6306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORACIC & CARDIOVASCULAR SURGERY INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "BURRELL",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "509-452-0279",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0048700",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7059694",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8902478",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.