Redding Cardiac & Vascular Surgery Medical Corporation

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

00G515970 Issued in CA

Legal business name

REDDING CARDIAC & VASCULAR SURGERY MEDICAL CORPORATION

Practice address

2240 Court St
Redding, CA 96001-2528

Phone

(530) 243-2626

Fax

(530) 243-2799

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward William Pottmeyer, M.D.

Title

President

Phone

(530) 243-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942289889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012528",
            "telephone_number": "530-243-2626",
            "fax_number": "530-243-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012528",
            "telephone_number": "530-243-2626",
            "fax_number": "530-243-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING CARDIAC & VASCULAR SURGERY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTMEYER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-243-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "00G515970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G515970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Redding Critical Care Medical Group, Inc.
• Redding Dermatology Medical Group, Inc.
• Redding ENT-Head and Neck Surgery Inc a Medical Group
• Redding Family Medical Group Inc
• Redding Family Therapy

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Redding, CA
• Providers in Redding, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.