NPIMap

Organization Active NPI

Vascular and Thoracic Surgery of Central Florida

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Winter Park, FL
National Provider Identifier
1821038084
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME40876 Issued in FL
Legal business name
VASCULAR AND THORACIC SURGERY OF CENTRAL FLORIDA
Practice address
180 S Knowles Ave
Suite 1
Winter Park, FL 32789-7009
Phone
(407) 628-1300
Fax
(407) 628-2788
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mrs. Sherry C Phipps
Title
Office MGR
Phone
(407) 628-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X ME40876 FL Primary

Addresses

Primary practice location

180 S Knowles Ave
Suite 1
Winter Park, FL 32789-7009

Mailing address

180 S. Knowles Avenue
Suite 1
Winter Park, FL 32789-7009
Phone (407) 628-1300

Other identifiers 1

IdentifierTypeStateIssuer
068017600MedicaidFL

National Provider Directory

National Provider Directory

Locations

180 S Knowles Ave
Ste 1
Winter Park, FL 32789
Phone (407) 628-1300

Practitioners & affiliated clinicians

Practitioners 4

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1821038084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S. KNOWLES AVENUE",
            "address_2": "SUITE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897009",
            "telephone_number": "407-628-1300",
            "fax_number": "407-628-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S KNOWLES AVE",
            "address_2": "SUITE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897009",
            "telephone_number": "407-628-1300",
            "fax_number": "407-628-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND THORACIC SURGERY OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "407-628-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME40876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068017600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.