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NPI Code Detail

MEDICARE: CENTRAL OHIO THORACIC AND CARDIOVASCULAR SURGERY, INC.

MEDICARE: CENTRAL OHIO THORACIC AND CARDIOVASCULAR SURGERY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician35.032311OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851725105
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL OHIO THORACIC AND CARDIOVASCULAR SURGERY, INC.
Provider Business Mailing Address
First Line : 5281 LOCUST HILL LN
Second Line :
City : DUBLIN
State : OH
Zip : 43017-4324
Country : US
Telephone Number : 614-889-9564
Fax Number : 614-889-9267
Provider Business Practice Location Address
First Line : 5281 LOCUST HILL LN
Second Line :
City : DUBLIN
State : OH
Zip : 43017-4324
Country : US
Telephone Number : 614-889-9564
Fax Number : 614-889-9267
Authorized Official
Title or Position : PRESIDENT
Name : STEPHEN M CATTANEO
Credential : M.D.
Telephone Number : 614-889-9564
Provider Enumeration Date : 08/22/2013
Last Update Date : 08/22/2013

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Directions to “CENTRAL OHIO THORACIC AND CARDIOVASCULAR SURGERY, INC. ” Practice Location

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