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BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC
NPI 1336322528
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Port Huron, MI

Active since December 11, 2007
1107 STONE ST, SUITE 1, PORT HURON, MI 48060(810) 989-6113(810) 989-6117 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Water Thoracic And Cardiovascular Surgery, Plc NPPES

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

BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC (NPI 1336322528) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Port Huron, Michigan and active in the NPI registry since December 2007. The organization lists Vernon Dencklau, Owner, as its authorized official.

NPPES Registry Identity

NPI1336322528
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameBLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC
Location Address1107 STONE ST, SUITE 1Port Huron, MI 48060-3569
Mailing Address1107 Stone St, Suite 1Port Huron, MI 48060-3569 · (810) 989-6113 · Fax (810) 989-6117
Phone(810) 989-6113
Fax(810) 989-6117
Organization SubpartNo
Authorized OfficialVernon DencklauOwner · (810) 989-6113
Enumeration DateDecember 11, 2007
Last NPPES UpdateAugust 11, 2008
✔ NPI 1336322528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MI · 5101007542
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.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 5101007542 (MI)
1107 STONE ST, Port Huron, MI 48060
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Group Practice 1

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

Other Providers at the Same Location NPPES 8

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

PORT HURON CLINIC P.C.
Legal Medicine
1107 STONE ST, STE #1
PORT HURON, MI 48060
St. Clair County (810) 982-8300
RANDI J VOTAVA FNP-BC
Nurse Practitioner (Family)
1107 STONE ST, SUITE 5
PORT HURON, MI 48060
St. Clair County (810) 985-9300
SARAH JO PASIA DO
Pediatrics
1107 STONE ST, SUITE 5
PORT HURON, MI 48060
St. Clair County (810) 985-9300
PERCY H, MCDONALD, M.D., P.C.
Specialist
1107 STONE ST, SUITE 4
PORT HURON, MI 48060
St. Clair County (810) 984-4400
NORMA PAKULSKI LMT, LPN
Massage Therapist
1107 STONE ST, SUITE 2
PORT HURON, MI 48060
St. Clair County (810) 488-5833
BEST KIDS PC
Pediatrics
1107 STONE ST, SUITE 5
PORT HURON, MI 48060
St. Clair County (810) 985-9300
VERNON EVERETT DENCKLAU DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1107 STONE ST, SUITE 1
PORT HURON, MI 48060
St. Clair County (810) 989-6113
DR. PERCY MCDONALD MD08
Otolaryngology
1107 STONE ST, SUITE 4
PORT HURON, MI 48060
St. Clair County (810) 984-4400

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 Blue Water Thoracic And Cardiovascular Surgery, Plc's NPI number?

The NPI number for Blue Water Thoracic And Cardiovascular Surgery, Plc is 1336322528. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Blue Water Thoracic And Cardiovascular Surgery, Plc located?

Blue Water Thoracic And Cardiovascular Surgery, Plc is located at 1107 Stone St Suite 1, Port Huron, MI 48060. The listed phone number is (810) 989-6113.

What is Blue Water Thoracic And Cardiovascular Surgery, Plc's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Water Thoracic And Cardiovascular Surgery, Plc was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.