NORTHWEST CARDIOVASCULAR
NPI 1700902368
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tacoma, WA

Q: What is the provider's specialty?

The provider's specialty is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 22, 2007

1812 S J ST, SUITE 210, TACOMA, WA 98405(253) 572-8777(253) 572-8835 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Northwest Cardiovascular NPPES

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

NORTHWEST CARDIOVASCULAR (NPI 1700902368) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Tacoma, Washington and active in the NPI registry since March 2007. The organization lists Glenda Lee Medeen, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1700902368

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameNORTHWEST CARDIOVASCULAR

Location Address1812 S J ST, SUITE 210Tacoma, WA 98405-4964

Mailing Address1812 S J St, Suite 210Tacoma, WA 98405-4964 · (253) 572-8777 · Fax (253) 572-8835

Phone(253) 572-8777

Fax(253) 572-8835

Organization SubpartNo

Authorized OfficialGlenda Lee MedeenBusiness Manager · (253) 572-8777

Enumeration DateMarch 22, 2007

Last NPPES UpdateDecember 17, 2007

✔ NPI 1700902368 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.

1812 S J ST, Tacoma, WA 98405

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Other Identifiers 2

Medicare OSCAR/certification8850886WA

Medicaid7129372WA

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 SINGLE SPECIALTY GROUP