Active NPI
Thoracic Vascular Surgeon, PLLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Carmel, NY
National Provider Identifier
1811064033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 185652
- Legal business name
- THORACIC VASCULAR SURGEON, PLLC
- Practice address
- 664 Stoneleigh Ave
204
Carmel, NY 10512-3940 - Phone
- (845) 278-9670
- NPI assigned
- Nov 30, 2006
- 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. Francis X Carroll, MD
- Title
- President
- Phone
- (845) 278-9670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 185652 | NY | Primary |
Addresses
Primary practice location
664 Stoneleigh Ave
204
Carmel, NY 10512-3940
Mailing address
664 Stoneleigh Ave
204
Carmel, NY 10512-3940
Phone (845) 278-9670
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1811064033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 STONELEIGH AVE",
"address_2": "204",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123940",
"telephone_number": "845-278-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 STONELEIGH AVE",
"address_2": "204",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123940",
"telephone_number": "845-278-9670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORACIC VASCULAR SURGEON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "X",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-278-9670",
"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": "NY",
"license": "185652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.