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THOR SURG ASSOC OF FCCC, MGI
NPI 1073887154
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA

Active since March 07, 2012CLIA 39D2008882 · Waiver
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111(215) 728-6900(215) 728-2773 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thor Surg Assoc Of Fccc, Mgi NPPES

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

THOR SURG ASSOC OF FCCC, MGI (NPI 1073887154) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Philadelphia, Pennsylvania and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through June 20, 2028, maintains 2 additional practice locations, and lists Tonya Woodard, Credentialing/manager, as its authorized official.

NPPES Registry Identity

NPI1073887154
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameFOX CHASE CANCER CENTER MEDICAL GROUP, INC
Location Address333 COTTMAN AVE, FOX CHASE CANCER CENTERPhiladelphia, PA 19111
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 728-6900 · Fax (215) 728-2773
Phone(215) 728-6900
Fax(215) 728-2773
Organization SubpartNo
Authorized OfficialTonya WoodardCredentialing/manager · (215) 707-3911
Enumeration DateMarch 7, 2012
Last NPPES UpdateJune 14, 2018
✔ NPI 1073887154 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
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.
333 COTTMAN AVE, Philadelphia, PA 19111
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Other Names 1

Doing Business AsThor Surg Assoc Of Fccc, Mgi

Secondary Practice Locations 2

Location 12701 Dekalb PikeNorristown, PA 19401-1820 · Phone (888) 369-2487 · Fax (215) 728-2773
Location 22365 Heritage Center DrFurlong, PA 18925-1280 · Phone (215) 728-6900 · Fax (215) 728-2773

Other Identifiers 3

Medicaid1026888280035PA
Medicaid1026888280025PA
Medicaid1026888280006PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2008882

Fox Chase Cancer Center · Furlong, PA
Active · expires Jun 20, 2028
CLIA Number39D2008882
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorDr. Shelly B. Hayes
Laboratory Phone(215) 794-2700
Laboratory LocationFox Chase Cancer Center2365 Heritage Center Drive, Furlong, PA 18925
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.
Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
JAMES SUN MD
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 854-9799
MS. MALA T KAILASAM MD
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
HEALTH SERVICES OF FOX CHASE CANCER CTR.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
ELENA DREYZIN PA-C
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (888) 369-2427
FREWEINI TESFALEDET PA
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
MARIUSZ A WASIK MD
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3675
DR. BARBARA C. CAVANAUGH M.D.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fox Chase Cancer Center Medical Group, Inc's NPI number?

The NPI number for Fox Chase Cancer Center Medical Group, Inc is 1073887154. It was assigned to this organization in the NPPES registry on March 7, 2012. The provider is doing business as Thor Surg Assoc Of Fccc, Mgi.

Where is Fox Chase Cancer Center Medical Group, Inc located?

Fox Chase Cancer Center Medical Group, Inc is located at 333 Cottman Ave Fox Chase Cancer Center, Philadelphia, PA 19111. The listed phone number is (215) 728-6900.

What is Fox Chase Cancer Center Medical Group, Inc's specialty?

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

Does Fox Chase Cancer Center Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2008882) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fox Chase Cancer Center Medical Group, Inc was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.