Organization Active NPI

Canton Endovascular & Cardiothoracic Surgery, LLC

  • Specialist
  • Canton, OH
National Provider Identifier
1821165010
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CANTON ENDOVASCULAR & CARDIOTHORACIC SURGERY, LLC
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(330) 363-1340
Fax
(330) 363-1360
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Stephen Sanofsky, MD
Title
Single Member, LLC
Phone
(330) 363-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

PO Box 6360
Canton, OH 44706-0360
Phone (330) 363-1340

National Provider Directory

National Provider Directory

NPI 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": "1211241600000",
    "number": "1821165010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6360",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447060360",
            "telephone_number": "330-363-1340",
            "fax_number": "330-363-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-1340",
            "fax_number": "330-363-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ENDOVASCULAR & CARDIOTHORACIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SANOFSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SINGLE MEMBER, LLC",
        "authorized_official_telephone_number": "330-363-1340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.