MARANATHA HEALTHCARE PC - NPI 1679896716 - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Saint Louis, MO

Q: What is Maranatha Healthcare PC's NPI number?

The NPI number for Maranatha Healthcare PC is 1679896716. It was assigned to this organization in the NPPES registry on March 3, 2010.

Q: What is Maranatha Healthcare PC's specialty?

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

On this page

About Maranatha Healthcare Pc NPPES

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

MARANATHA HEALTHCARE PC (NPI 1679896716) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Saint Louis, Missouri and active in the NPI registry since March 2010. The organization lists Adeluola G Lipede, President, as its authorized official.

NPPES Registry Identity

NPI1679896716

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameMARANATHA HEALTHCARE PC

Location Address9231 W FLORISSANT AVESaint Louis, MO 63136-1422

Mailing AddressPo Box 3980Chesterfield, MO 63006-3980 · (314) 522-1888 · Fax (314) 522-9674

Phone(314) 522-1888

Fax(314) 522-9674

Organization SubpartNo

Authorized OfficialAdeluola G LipedePresident · (314) 522-1888

Enumeration DateMarch 3, 2010

Last NPPES UpdateMay 17, 2010

✔ NPI 1679896716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code208G00000X

License✔ Licensed in MO · R7F89

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 ListedGeneral PracticeTaxonomy 208D00000X · License R7F89 (MO)

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License R7F89 (MO)

9231 W FLORISSANT AVE, Saint Louis, MO 63136

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 6

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

MPWER

Community/Behavioral Health