CARDIOVASCULAR SURGICAL CLINIC PA
NPI 1912058538
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jackson, MS

Active since January 12, 2007
501 MARSHALL ST, SUITE 100, JACKSON, MS 39202(601) 948-1416(601) 353-9417 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cardiovascular Surgical Clinic Pa NPPES

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

CARDIOVASCULAR SURGICAL CLINIC PA (NPI 1912058538) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Carol Hartman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912058538
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameCARDIOVASCULAR SURGICAL CLINIC PA
Location Address501 MARSHALL ST, SUITE 100Jackson, MS 39202-1651
Mailing Address501 Marshall St, Suite 100Jackson, MS 39202-1651 · (601) 948-1416 · Fax (601) 353-9417
Fax(601) 353-9417
Organization SubpartNo
Authorized OfficialCarol HartmanAdministrator · (601) 948-1416
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1912058538 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.
501 MARSHALL ST, Jackson, MS 39202

Other Identifiers 1

Medicaid09011173MS

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 20

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

Nurse Practitioner
501 MARSHALL ST, STE 104
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, SUITE 400
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, STE 400
JACKSON, MS 39202
Ophthalmology
501 MARSHALL ST, SUITE 603
JACKSON, MS 39202
Clinic/Center (Endoscopy)
501 MARSHALL ST, SUITE 201
JACKSON, MS 39202
Audiologist
501 MARSHALL ST, SUITE 602
JACKSON, MS 39202
Nurse Practitioner (Obstetrics & Gynecology)
501 MARSHALL ST, SUITE 600
JACKSON, MS 39202
Nurse Practitioner (Acute Care)
501 MARSHALL ST, STE 104
JACKSON, MS 39202

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 Cardiovascular Surgical Clinic PA's NPI number?

The NPI number for Cardiovascular Surgical Clinic PA is 1912058538. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Cardiovascular Surgical Clinic PA located?

Cardiovascular Surgical Clinic PA is located at 501 Marshall St Suite 100, Jackson, MS 39202. The listed phone number is (601) 948-1416.

What is Cardiovascular Surgical Clinic PA'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 Cardiovascular Surgical Clinic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.