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ST. CLAIR CARDIOVASCULAR SURGEONS, PLC
NPI 1922275312
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Port Huron, MI

Active since May 14, 2008
1117 STONE ST, SUITE 1, PORT HURON, MI 48060(810) 987-3558(810) 987-7557 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Clair Cardiovascular Surgeons, Plc NPPES

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

ST. CLAIR CARDIOVASCULAR SURGEONS, PLC (NPI 1922275312) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Port Huron, Michigan and active in the NPI registry since May 2008. The organization lists C. Douglas Lees, Trustee, as its authorized official.

NPPES Registry Identity

NPI1922275312
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameST. CLAIR CARDIOVASCULAR SURGEONS, PLC
Location Address1117 STONE ST, SUITE 1Port Huron, MI 48060-3525
Mailing Address25599 Kelly Rd, Suite A.Roseville, MI 48066-4975 · (586) 772-6000 · Fax (586) 772-7700
Phone(810) 987-3558
Fax(810) 987-7557
Organization SubpartNo
Authorized OfficialC. Douglas LeesTrustee · (586) 772-6000
Enumeration DateMay 14, 2008
✔ NPI 1922275312 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
License✔ Licensed in MI · 4301047134
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.
1117 STONE ST, Port Huron, MI 48060
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Other Identifiers 1

Medicare PIN0M392100MI

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 5

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

DR. JOHN PATRICK MULLALLY MD
Family Medicine
1117 STONE ST, SUITE 2
PORT HURON, MI 48060
St. Clair County (810) 966-4540
MRS. KIMBERLY ANN KORNIECK M.T.
Massage Therapist
1117 STONE ST, SUITE 4
PORT HURON, MI 48060
St. Clair County (810) 941-4256
DR. DEMIAN IBRAHIM NAGUIB M.D.
Psychiatry & Neurology (Neurology)
1117 STONE ST, SUITE 1
PORT HURON, MI 48060
St. Clair County (810) 985-9699
J MULLALLY MD PLLC
Family Medicine
1117 STONE ST, SUITE 2
PORT HURON, MI 48060
St. Clair County (810) 966-4540
NEUROLOGY AND SLEEP CARE, PLLC
Psychiatry & Neurology (Pain Medicine)
1117 STONE ST, SUITE 1
PORT HURON, MI 48060
St. Clair County (810) 985-9699

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 St. Clair Cardiovascular Surgeons, Plc's NPI number?

The NPI number for St. Clair Cardiovascular Surgeons, Plc is 1922275312. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is St. Clair Cardiovascular Surgeons, Plc located?

St. Clair Cardiovascular Surgeons, Plc is located at 1117 Stone St Suite 1, Port Huron, MI 48060. The listed phone number is (810) 987-3558.

What is St. Clair Cardiovascular Surgeons, Plc'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 St. Clair Cardiovascular Surgeons, Plc was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.