CTVSA WISCONSIN S.C. – NPI #1225318090
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.

CTVSA WISCONSIN S.C. is a thoracic surgeon located in KENOSHA, WI. NPPES has assigned the NPI number 1225318090 to CTVSA WISCONSIN S.C. on August 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 CTVSA WISCONSIN S.C. below.

NPI Profile for
CTVSA WISCONSIN S.C.

NPI Number
1225318090
Enumeration Date

(about 15 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
CTVSA WISCONSIN S.C.
Primary location
6308 8TH AVE
SUITE 3060
KENOSHA, WI 53143-5031
Phone: (262) 656-2700 Fax: (262) 656-3672
Mailing address
4400 W 95TH ST
SUITE 205
OAK LAWN, IL 60453-2654
Phone: (708) 346-4040 Fax: (708) 346-3287
Organization Subpart
No
Authorized Official
PATROKLOS PAPPAS
PRESIDENT
Phone: (708) 346-4040
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
2086S0129X
- Surgery / Vascular Surgery
WI

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.