Organization Active NPI

Thoracic and Cardiovascular Surgery Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
National Provider Identifier
1962693721
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35054319T Issued in OH
Legal business name
THORACIC AND CARDIOVASCULAR SURGERY INC
Practice address
6275 E Broad St
Columbus, OH 43213-1504
Phone
(614) 575-8500
Fax
(614) 575-8500
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Dennis J Tishko, MDNPI 1174591598
Title
President
Phone
(614) 575-8500

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 35054319T OH Primary

Addresses

Primary practice location

6275 E Broad St
Columbus, OH 43213-1504

Mailing address

PO Box 650
Blacklick, OH 43004-0650
Phone (614) 575-8500

Other identifiers 1

IdentifierTypeStateIssuer
0922238MedicaidOH

National Provider Directory

National Provider Directory

Locations

6275 E Broad St
Columbus, OH 43213
Phone (614) 575-8500

Practitioners & affiliated clinicians

Practitioners 2

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1962693721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430040650",
            "telephone_number": "614-575-8500",
            "fax_number": "614-575-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131504",
            "telephone_number": "614-575-8500",
            "fax_number": "614-575-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC AND CARDIOVASCULAR SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "TISHKO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-575-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35054319T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.