Cardio Vascular Thoracic Surgery LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

01045697 Issued in IN

Legal business name

CARDIO VASCULAR THORACIC SURGERY LLC

Practice address

520 S 7TH St
Good Samaritian Hospital
Vincennes, IN 47591-1038

Phone

(812) 885-3243

Fax

(812) 885-3915

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Mario Matos-Cruz, MD

Title

Owner

Phone

(812) 886-4383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831171370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475917823",
            "telephone_number": "812-886-4383",
            "fax_number": "812-886-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "address_2": "GOOD SAMARITIAN HOSPITAL",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-3243",
            "fax_number": "812-885-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO VASCULAR THORACIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATOS-CRUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-886-4383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01045697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget M Cannon
• Michael L Cantwell, M.D.
• Reynaldo A Carandang, M.D.
• Aaron Dale Cardinal, D.D.S.
• Tara Cardinal
• Cardiovascular Consultants of Vincennes, PC
• Kellie Cargal, LCSW
• Kelli Jeanne Carie, FNP-C
• Alice Leeann Carroll, FNP
• Ashlynn Carson

• Vascular Surgery Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.