Kettering Cardiothoracic and Vascular Surgeons, Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004803 Issued in OH

Legal business name

KETTERING CARDIOTHORACIC AND VASCULAR SURGEONS, INC

Practice address

3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263

Phone

(937) 294-3611

Fax

(937) 294-9010

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shasling Delgado-Cordero, P.A.

Title

Physician Assistant

Phone

(734) 664-7820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1851841084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5650",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-294-3611",
            "fax_number": "937-294-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5650",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-294-3611",
            "fax_number": "937-294-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING CARDIOTHORACIC AND VASCULAR SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "DELGADO-CORDERO",
        "authorized_official_first_name": "SHASLING",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "734-664-7820",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasindra Nicole Kerns, MS, PC
• Stephanie S. Kerr, CDA
• Kettering Affiliated Health Services (Kettering Breast Evaluation Center)
• Kettering Anesthesia Associates, Inc
• Kettering Card and Vas Surg
• Kettering Chiropractic Center Inc
• Kettering City School District
• Kettering Health Network
• Kettering Independent Medical Group Inc
• Kettering Integrated Services LLC (Renew Boutique and Spa)

• Physician Assistant in Kettering, OH
• Providers in Kettering, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.