CARDIOVASCULAR SURGICAL CLINIC PA – NPI #1912058538
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)

CARDIOVASCULAR SURGICAL CLINIC PA is a thoracic surgeon located in JACKSON, MS. NPPES has assigned the NPI number 1912058538 to CARDIOVASCULAR SURGICAL CLINIC PA on January 12, 2007. 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 6 years ago on Aug 22, 2020. 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 SURGICAL CLINIC PA below.

NPI Profile for
CARDIOVASCULAR SURGICAL CLINIC PA

NPI Number
1912058538
Enumeration Date

(more than 19 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
CARDIOVASCULAR SURGICAL CLINIC PA
Primary location
501 MARSHALL ST
SUITE 100
JACKSON, MS 39202-1651
Phone: (601) 948-1416 Fax: (601) 353-9417
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL HARTMAN
ADMINISTRATOR
Phone: (601) 948-1416
Updated
Identifiers

Identifiers for CARDIOVASCULAR SURGICAL CLINIC PA

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
MEDICAIDMS09011173
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.