DR. ERIC LEE CEITHAML M.D. - NPI 1063485506 - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL

Q: What is Eric Ceithaml's NPI number?

The NPI number for Eric Ceithaml is 1063485506. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Eric Ceithaml's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Ceithaml was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Eric Lee Ceithaml M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC LEE CEITHAML M.D. (NPI 1063485506) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Jacksonville, Florida, licensed in Florida (ME50651) and active in the NPI registry since February 2006. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1063485506

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. ERIC LEE CEITHAMLCredential: M.D.

Location Address836 PRUDENTIAL DR STE 802Jacksonville, FL 32207-8335

Mailing AddressPo Box 44047Jacksonville, FL 32231-4047 · (904) 376-4083 · Fax (904) 391-5075

Phone(904) 202-8290

Fax(904) 202-8171

Sole ProprietorNo

Enumeration DateFebruary 7, 2006

Last NPPES UpdateOctober 2, 20182 updates tracked since enumeration

✔ NPI 1063485506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in FL · ME50651

Definition

A 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.

836 PRUDENTIAL DR STE 802, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 1800 Prudential Dr, Suite 202 / UFJP Wolfson'sJacksonville, FL 32207 · Phone (904) 202-8290 · Fax (904) 202-8171

Other Identifiers 2

Medicaid000367617AGA

Medicaid0457868-00FL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAPTIST SPECIALTY PHYSICIANS INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)