CARDIOVASCULAR SURGERY ASSOCIATES – NPI #1831342054
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.

CARDIOVASCULAR SURGERY ASSOCIATES is a thoracic surgeon located in JACKSON, MS. NPPES has assigned the NPI number 1831342054 to CARDIOVASCULAR SURGERY ASSOCIATES on October 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARDIOVASCULAR SURGERY ASSOCIATES” is a dba name, the actual legal business name for this organization is ST DOMINIC MEDICAL ASSOCIATES LLC. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. 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 5 years ago on Jun 16, 2021. 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 CARDIOVASCULAR SURGERY ASSOCIATES below.

NPI Profile for
ST DOMINIC MEDICAL ASSOCIATES LLC

NPI Number
1831342054
Enumeration Date

(more than 17 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
ST DOMINIC MEDICAL ASSOCIATES LLC
Doing Business As (dba): CARDIOVASCULAR SURGERY ASSOCIATES
Primary location
970 LAKELAND DR STE 61
JACKSON, MS 39216-4634
Phone: (601) 200-2780 Fax: (601) 200-2788
6 Other location(s):
810 E Sunflower Rd Ste 100J
Cleveland, MS 38732-2828
Phone: (601) 200-2780
Fax: (601) 200-2788
971 Lakeland Dr Ste 657
Jackson, MS 39216-4608
Phone: (601) 200-2990
Fax: (601) 200-5939
332 Highway 12 W
Kosciusko, MS 39090-3209
Phone: (601) 200-2780
Fax: (601) 200-2788
360 Simpson Highway 149 Ste 370
Magee, MS 39111-3843
Phone: (601) 200-2780
Fax: (601) 200-2788
610 Second St
Pelahatchie, MS 39145-3135
Phone: (601) 854-5044
Fax: (601) 854-8448
4204 Clay St
Vicksburg, MS 39183-3438
Phone: (601) 200-2780
Fax: (601) 200-2788
Mailing address
PO BOX 23666
JACKSON, MS 39225-3666
Phone: (601) 200-2780 Fax: (601) 200-2788
Organization Subpart
Yes - CARDIOVASCULAR SURGERY ASSOCIATES is subpart of another organization.
Authorized Official
DANIELLE STUART
CREDENTIALING REPRESENTATIVE 2
Phone: (601) 200-4880
Updated
Certification Date
Jun 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARDIOVASCULAR SURGERY ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00978789
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)

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.