Healthcare Provider Details
I. General information
NPI: 1750389532
Provider Name (Legal Business Name): CARDIO-THORACIC & VASCULAR SURGICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1855 SPRINGHILL AVE
MOBILE AL
36607-2301
US
IV. Provider business mailing address
1855 SPRINGHILL AVE
MOBILE AL
36607-2301
US
V. Phone/Fax
- Phone: 251-471-3544
- Fax: 251-476-7254
- Phone: 251-471-3544
- Fax: 251-476-7254
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
JOHN
EVERETT
STONE
JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-471-3544