SOUTHPORT CARDIOVASCULAR SURGEONS LLC – NPI #1063894723
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

SOUTHPORT CARDIOVASCULAR SURGEONS LLC is a thoracic surgeon located in PADDOCK LAKE, WI. NPPES has assigned the NPI number 1063894723 to SOUTHPORT CARDIOVASCULAR SURGEONS LLC on June 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHPORT CARDIOVASCULAR SURGEONS LLC below.

NPI Profile for
SOUTHPORT CARDIOVASCULAR SURGEONS LLC

NPI Number
1063894723
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHPORT CARDIOVASCULAR SURGEONS LLC
Primary location
7137 236TH AVENUE
#103
PADDOCK LAKE, WI 53168
Phone: (262) 843-4422 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER STONE
OWNER
Phone: (262) 843-4422
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 WI 38886

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.