Active NPI
Lon S Annest, MD, MBA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
National Provider Identifier
1972872885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 14851
- Practice address
- 2101 Frederick Douglass Blvd
10B
New York, NY 10026-3469 - Phone
- (253) 279-0281
- Fax
- (646) 649-4010
- NPI assigned
- Dec 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 14851 | WA | Primary |
Addresses
Primary practice location
2101 Frederick Douglass Blvd
10B
New York, NY 10026-3469
Mailing address
2423 No. 31St Street
Tacoma, WA 98407-6401
Phone (253) 279-0281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14851 | WA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1972872885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 NO. 31ST STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "984076401",
"telephone_number": "253-279-0281",
"fax_number": "646-641-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 FREDERICK DOUGLASS BLVD",
"address_2": "10B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263469",
"telephone_number": "253-279-0281",
"fax_number": "646-649-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNEST",
"first_name": "LON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "14851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.