Organization Active NPI

Thoracic & Cardiovascular Surgery Inc PS

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Yakima, WA
National Provider Identifier
1659438869
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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

Updated by the provider on May 5, 2016

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0048700OtherWALABOR & INDUSTRIES
7059694MedicaidWA
8902478OtherWACRIME VICTIMS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.