Organization Active NPI

Cardiothoracic Surgical Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1790887743
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIOTHORACIC SURGICAL ASSOCIATES
Practice address
7579 N Loop 1604 W Ste 100
San Antonio, TX 78249-2782
Phone
(210) 616-0008
Fax
(210) 616-0231
NPI assigned
Sep 1, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. J Marvin Smith III, MD
Title
President
Phone
(210) 616-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary

Addresses

Primary practice location

7579 N Loop 1604 W Ste 100
San Antonio, TX 78249-2782

Mailing address

204 Zambrano Rd
San Antonio, TX 78209-5459
Phone (210) 616-0008

Other identifiers 1

IdentifierTypeStateIssuer
112630201MedicaidTX

National Provider Directory

National Provider Directory

Locations

4330 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 616-0008

6800 W Interstate 10
Ste 300
San Antonio, TX 78201
Phone (210) 616-0008

7579 N Loop 1604 W
Ste 100
San Antonio, TX 78249
Phone (210) 616-0008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1790887743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ZAMBRANO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095459",
            "telephone_number": "210-616-0008",
            "fax_number": "210-616-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 N LOOP 1604 W STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492782",
            "telephone_number": "210-616-0008",
            "fax_number": "210-616-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-616-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112630201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.