Heart Lung and Vascular Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

27908 Issued in IA

Legal business name

HEART LUNG AND VASCULAR SURGERY PC

Practice address

210 Ridge
Jennie Edmundsen Hospital
Council Bluffs, IA 51503

Phone

(402) 393-6700

Fax

(402) 393-1098

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven John Feldhaus, M.D.NPI 1649385451

Title

President

Phone

(402) 393-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J. Feldhaus, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sioux Falls, SD
  • NPI 1649385451
  NPD (past) Authorized official

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1710129671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD",
            "address_2": "SUITE 420",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242372",
            "telephone_number": "402-393-6700",
            "fax_number": "402-393-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RIDGE",
            "address_2": "JENNIE EDMUNDSEN HOSPITAL",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "402-393-6700",
            "fax_number": "402-393-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART LUNG AND VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "FELDHAUS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-393-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "27908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IB1399",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.