Organization Active NPI

Cardiovascular Surgery, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
National Provider Identifier
1881693679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIOVASCULAR SURGERY, INC.
Practice address
930 Carondelet Dr
Ste 104
Kansas City, MO 64114-4855
Phone
(816) 942-0770
Fax
(816) 942-0668
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Clarke Latta Henry Jr., M.D.NPI 1750389029
Title
President
Phone
(816) 942-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

930 Carondelet Dr
Ste 104
Kansas City, MO 64114-4855

Mailing address

930 Carondelet Dr
Ste 104
Kansas City, MO 64114-4855
Phone (816) 942-0770

National Provider Directory

National Provider Directory

Locations

8901 W 74th St
Ste 1
Shawnee Msn, KS 66204
Phone (913) 341-0120

930 Carondelet Dr
Ste 104
Kansas City, MO 64114
Phone (816) 531-0118

Practitioners & affiliated clinicians

Practitioners 1

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881693679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-942-0770",
            "fax_number": "816-942-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-942-0770",
            "fax_number": "816-942-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_middle_name": "LATTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-942-0770",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.