Seacoast Thoracic & Cardiovascular Surgery Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

07965 Issued in RI

Legal business name

SEACOAST THORACIC & CARDIOVASCULAR SURGERY INC.

Practice address

1 Randall SQ
Suite 414
Providence, RI 02904-2709

Phone

(401) 331-4175

Fax

(401) 331-5718

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony L Moulton, MD

Title

President

Phone

(401) 331-4175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1841470051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE RANDALL SQUARE",
            "address_2": "SUITE 414",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-4175",
            "fax_number": "401-331-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ",
            "address_2": "SUITE 414",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709",
            "telephone_number": "401-331-4175",
            "fax_number": "401-331-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST THORACIC & CARDIOVASCULAR SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-331-4175",
        "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": "RI",
            "license": "07965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Scruggs-Benassis, M.D.
• Catharine Scully, CNM
• Kevin J Scully, MD
• Shirley Marie Scully, RPT
• Deborah Sczuroski, RN
• Meeckral Searight, LICSW
• Andrea Sears, CHW/CPRS
• Jonathan Hale Season, M.D.
• Bronte E. Seath, MD
• Mary Seccareccia, RN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Providence, RI
• Providers in Providence, RI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.