Active NPI
Cardiothoracic Surgical Associates
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Antonio, TX
National Provider Identifier
1790887743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- 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, 2022
- 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
- Dr. J Marvin Smith III, MD
- Title
- President
- Phone
- (210) 616-0008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112630201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Antonio, TX
- NPI 1508862525
-
- Surgical Physician Assistant
- San Antonio, TX
- NPI 1154335792
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Antonio, TX
- NPI 1790707982
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
- Cardiology Clinic of San Antonio, PLLC
- Cardiology Northwest San Antonio, P.a.
- Cardiology of San Antonio PA
- Cardiology of South Texas, PLLC
- Cardiology Research Center, LTD
- Cardiovascular & Hypertension Clinic of San Antonio
- Cardiovascular Associates of San Antonio, PA
- Cardiovascular Consultants of San Antonio, PLLC
- Cardiovascular Solutions San Antonio
- Cardiovascular Specialists of Texas, P.a
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.