Heart, Lung, and Vascular Surgery, PSC
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Utica, KY
NPI 1942233366 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1942233366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 29420 (KY)
- Legal business name
- HEART, LUNG, AND VASCULAR SURGERY, PSC
- Practice address
- 2737 Greenback Rd
Utica, KY 42376-9742 - Phone
- (937) 479-6999
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- John C Powell, MD
- Title
- President
- Phone
- (937) 479-6999
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | 29420 | KY | Yes |
Addresses
Primary practice location
2737 Greenback Rd
Utica, KY 42376-9742
Mailing address
2737 Greenback Rd
Utica, KY 42376-9742
Phone (937) 479-6999
Other providers in Utica, KY
- Faith Marie Briones
- Michael James Clark
- Andrea Howard
- Cletus Kobiah Oppong
- Ashley Ann Payne
- Travis Jeffrey Peacock
- Brittany Ross
All providers in Utica, KY · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.