WEST SIDE CARDIOTHORACIC SURGEONS, INC.
NPI 1679574156
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lakewood, OH

Active since August 09, 2005
15644 MADISON AVE, SUITE #202, LAKEWOOD, OH 44107(216) 521-3384(216) 521-3385 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...

About WEST SIDE CARDIOTHORACIC SURGEONS, INC.

This page provides the complete NPI Profile along with additional information for West Side Cardiothoracic Surgeons, Inc., a provider established in Lakewood, Ohio operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1679574156 assigned on August 2005. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. M. Hani Khaddam M.d. (President)

NPI
1679574156 Verify this NPI
Provider Name
WEST SIDE CARDIOTHORACIC SURGEONS, INC.
Entity Type
Organization
Location Address
15644 MADISON AVE SUITE #202 LAKEWOOD, OH 44107
Location Phone
(216) 521-3384
Location Fax
(216) 521-3385
Mailing Address
PO BOX 567 CHAGRIN FALLS, OH 44022
Mailing Phone
(216) 464-5160
Mailing Fax
(216) 464-5982
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2005
Last Update Date
07-21-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License State
OH
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. M. HANI KHADDAM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 521-3384

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Podiatrist
15644 MADISON AVE, SUITE 217
LAKEWOOD, OH 44107
Dentist
15644 MADISON AVE, SUITE 215
LAKEWOOD, OH 44107
Podiatrist
15644 MADISON AVE, 106
LAKEWOOD, OH 44107
Podiatrist (Foot & Ankle Surgery)
15644 MADISON AVE, 213
LAKEWOOD, OH 44107
Social Worker (Clinical)
15644 MADISON AVE, SUITE 108
LAKEWOOD, OH 44107
Pathology (Clinical Pathology)
15644 MADISON AVE, SUITE 218
LAKEWOOD, OH 44107
Podiatrist
15644 MADISON AVE
LAKEWOOD, OH 44107
Thoracic Surgery (Cardiothoracic Vascular Surgery)
15644 MADISON AVE, SUITE 202
LAKEWOOD, OH 44107
Internal Medicine
15644 MADISON AVE, STE 101
LAKEWOOD, OH 44107
Durable Medical Equipment & Medical Supplies
15644 MADISON AVE, SUITE 213
LAKEWOOD, OH 44107
Social Worker
15644 MADISON AVE
LAKEWOOD, OH 44107
Chiropractor
15644 MADISON AVE, STE 213
LAKEWOOD, OH 44107
Occupational Therapist
15644 MADISON AVE
LAKEWOOD, OH 44107
Occupational Therapist
15644 MADISON AVE
LAKEWOOD, OH 44107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679574156, enumerated as an "organization" on August 09, 2005.

The provider is located at 15644 MADISON AVE SUITE #202 LAKEWOOD, OH 44107 and the phone number is (216) 521-3384.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.