KETTERING CARD AND VAS SURG
NPI 1881645828
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kettering, OH

Q: What is the provider's specialty?

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

Active since May 15, 2006

3533 SOUTHERN BLVD, STE 5650, KETTERING, OH 45429(937) 294-3611(937) 294-9010 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kettering Card And Vas Surg NPPES

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

KETTERING CARD AND VAS SURG (NPI 1881645828) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Kettering, Ohio and active in the NPI registry since May 2006. The organization lists Kristine M Wilson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1881645828

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameKETTERING CARD AND VAS SURG

Location Address3533 SOUTHERN BLVD, STE 5650Kettering, OH 45429-1264

Mailing Address3533 Southern Blvd, Ste 5650Kettering, OH 45429-1264 · (937) 294-3611 · Fax (937) 294-9010

Phone(937) 294-3611

Fax(937) 294-9010

Organization SubpartNo

Authorized OfficialKristine M WilsonPractice Manager · (937) 294-3694

Enumeration DateMay 15, 2006

Last NPPES UpdateDecember 1, 2014

✔ NPI 1881645828 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.

3533 SOUTHERN BLVD, Kettering, OH 45429

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Other Identifiers 2

Medicaid0639867OH

Medicare ID-Type UnspecifiedKE9921741OH

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›