MIDSTATE MEDICAL GROUP, PC – NPI #1356361315
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)

MIDSTATE MEDICAL GROUP, PC is a thoracic surgeon located in MERIDEN, CT. NPPES has assigned the NPI number 1356361315 to MIDSTATE MEDICAL GROUP, PC on July 20, 2006. 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).

The NPI profile was previously updated about 18 years ago on Apr 09, 2008. 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 MIDSTATE MEDICAL GROUP, PC below.

NPI Profile for
MIDSTATE MEDICAL GROUP, PC

NPI Number
1356361315
Enumeration Date

(about 20 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
MIDSTATE MEDICAL GROUP, PC
Primary location
435 LEWIS AVENUE
MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451
Phone: (203) 694-8750 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRED TILDEN
OWNER
Phone: (203) 694-8750
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)		 CT N/A

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.