Cardiac and Thoracic Surgery Associates, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

CARDIAC AND THORACIC SURGERY ASSOCIATES, LLC

Practice address

2223 Quail Run Ste E
Baton Rouge, LA 70808-9063

Phone

(225) 877-2872

Fax

(225) 659-8031

NPI assigned

May 12, 2021

Last updated

Nov 16, 2021By 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

Charles Wiliiam Mock Sr., CPA

Title

Manager

Phone

(225) 963-0567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1932783149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-877-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-877-2872",
            "fax_number": "225-659-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND THORACIC SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILIIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-963-0567",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.