Active NPI
Cardiothoracic Specialties
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Terre Haute, IN
National Provider Identifier
1770730764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01048818
- Legal business name
- CARDIOTHORACIC SPECIALTIES
- Practice address
- 1606 N 7TH St
Terre Haute, IN 47804-2706 - Phone
- (812) 234-8261
- Fax
- (812) 234-8262
- NPI assigned
- Aug 21, 2008
- 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
- Nabil Mnayarji, MD
- Title
- Owner
- Phone
- (812) 234-8261
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01048818 | IN | Primary |
Addresses
Primary practice location
1606 N 7TH St
Terre Haute, IN 47804-2706
Mailing address
PO Box 10504
Terre Haute, IN 47801-0504
Phone (812) 234-8261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200199020A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Terre Haute, IN
- NPI 1427125426
Thoracic Surgery (Cardiothoracic Vascular Surgery)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1770730764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10504",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478010504",
"telephone_number": "812-234-8261",
"fax_number": "812-234-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-234-8261",
"fax_number": "812-234-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOTHORACIC SPECIALTIES",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "MNAYARJI",
"authorized_official_first_name": "NABIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-234-8261",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01048818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200199020A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.