THE CENTER FOR CARDIOVASCULAR SURGERY (SINGING RIVER HEALTH SYSTEM) NPI 1003005133

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Gautier, MS

Organization Thoracic Surgery (Cardiothoracic Vascula...

About THE CENTER FOR CARDIOVASCULAR SURGERY (SINGING RIVER HEALTH SYSTEM)

The Center For Cardiovascular Surgery (singing River Health System) is a provider established in Gautier, Mississippi specializing in thoracic surgery (cardiothoracic vascular surgery). The NPI number of The Center For Cardiovascular Surgery (singing River Health System) is 1003005133 and was assigned on October 2007. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The Center For Cardiovascular Surgery (singing River Health System) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Center For Cardiovascular Surgery. The authorized official of this NPI record is Mr. Kevin Holland (Ceo)

NPI

1003005133

Provider NameTHE CENTER FOR CARDIOVASCULAR SURGERY (SINGING RIVER HEALTH SYSTEM)
Provider Location Address2101 HIGHWAY 90 GAUTIER, MS 39553
Provider Mailing Address2101 HIGHWAY 90 GAUTIER, MS 39553
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE CENTER FOR CARDIOVASCULAR SURGERY
Other Name TypeDoing Business As (3)
Enumeration Date10-15-2007
Last Update Date09-26-2014

Primary Taxonomy

Taxonomy Code208G00000X
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Business Address

THE CENTER FOR CARDIOVASCULAR SURGERY
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone: (228) 497-7964

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Mailing Address

THE CENTER FOR CARDIOVASCULAR SURGERY
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone:

Authorized Official

Authorized Official NameMR. KEVIN HOLLAND
Authorized Official TitleCEO
Authorized Official Phone(228) 497-7908

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
512G700089MEDICARE PIN (08)MS
000019059OTHER (01)MS
09014182MEDICAID (05)MS

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083893937SINGING RIVER HEALTH SYSTEM
Organization
Clinic/Center (Multi-Specialty)2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1588803225 ALLYSON PEREZ CRNA
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-7576
1609812833 CELESTE DURHAM RD
Individual
Dietitian, Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1639510142MR. JOSEPH CHANCE KEYS NP
Individual
Nurse Practitioner (Family)2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1801059381DR. JOHN RYAN LOGAN MD
Individual
Internal Medicine2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5510
1821580762 ALLISON CROWLEY SPEECH
Individual
Speech-Language Pathologist2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 471-1521
1871628180MR. GREGORY PAUL GREER CRNA, MHS
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5000
1962994897 JOHN HUDSON IV PT
Individual
Physical Therapist2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 471-1521

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.