NPIMap

Organization Active NPI

West Suburban Cardiothoracic Surgery SC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Waukesha, WI
National Provider Identifier
1770524191
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WEST SUBURBAN CARDIOTHORACIC SURGERY SC
Practice address
N14W23833 Stone Ridge Dr
Suite 240
Waukesha, WI 53188-1157
Phone
(262) 522-6900
Fax
(262) 522-6835
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Dr. Paul E Seifert, MDNPI 1609839406
Title
President
Phone
(262) 522-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

N14W23833 Stone Ridge Dr
Suite 240
Waukesha, WI 53188-1157

Mailing address

N14W23833 Stone Ridge Dr
Suite 240
Waukesha, WI 53188-1157
Phone (262) 522-6900

Other identifiers 1

IdentifierTypeStateIssuer
21256600MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1770524191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14W23833 STONE RIDGE DR",
            "address_2": "SUITE 240",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881157",
            "telephone_number": "262-522-6900",
            "fax_number": "262-522-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23833 STONE RIDGE DR",
            "address_2": "SUITE 240",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881157",
            "telephone_number": "262-522-6900",
            "fax_number": "262-522-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN CARDIOTHORACIC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-522-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21256600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.