KEVIN M RADECKI (NPI# 1194724260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194724260 |
Entity Type | Individual |
Full Name | KEVIN M RADECKI |
Credential | MD |
Practice Address |
5965 E Broad St Suite 340 Columbus OH 43213-1562 |
Mailing Address |
Po Box 650 Blacklick OH 43004-0650 |
Practice Telephone | 6142347505 |
Practice Fax Number | 6142347506 |
Mailing Telephone | 6142347505 |
Mailing Fax Number | 6142347506 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2008-04-24 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35079805 | OH | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0063316 | MD | Allopathic & Osteopathic Physicians |
Street Address |
5965 E BROAD ST SUITE 340 |
City | COLUMBUS |
State | OH |
Zip Code | 43213-1562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962400044 | Coa Asc of Franklin County LLC | Clinic/Center | 5965 E Broad St, Suite 460, Columbus, OH 43213-1562 | 2005-07-12 |
1922432434 | Jessica Turner | Physician Assistant | 5965 E Broad St, Columbus, OH 43213 | 2013-09-03 |
1356612352 | Lauren Nicole Woods | Physician Assistant | 5965 E Broad St, Columbus, OH 43213-1562 | 2012-01-23 |
1184867756 | Ellen Hunter Bailey | Colon & Rectal Surgery | 5965 E Broad St, Suite #250, Columbus, OH 43213-1562 | 2009-04-13 |
1003052812 | Mount Carmel Health Providers Two, LLC | Psychologist | 5965 E Broad St, Suite 370, Columbus, OH 43213-1562 | 2008-12-29 |
1386812519 | Olga Boudoulas | Dermatology | 5965 E Broad St, Suite 290, Columbus, OH 43213-1562 | 2008-02-11 |
1104001189 | Tariq Gill | Internal Medicine | 5965 E Broad St, Suite 260, Columbus, OH 43213-1562 | 2008-01-08 |
1104012954 | Laura Lynn Miller | Physical Therapist | 5965 E Broad St, Suite 390, Columbus, OH 43213-1562 | 2007-09-14 |
1184833436 | Patricia Christine Garcia | Psychiatry & Neurology | 5965 E Broad St, Suite 260, Columbus, OH 43213-1562 | 2007-05-22 |
1316153943 | Debra Jean Orellana | Specialist | 5965 E Broad St, Suite 390, Columbus, OH 43213-1562 | 2007-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
Find all providers in zip 43213 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | 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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093091225 | Mohan Thanikachalam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 311 N Drexel Ave, Columbus, OH 43209-1430 | 2011-11-02 |
1689966129 | Charles Victor Meckstroth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3921 Bramford Rd, Columbus, OH 43220 | 2011-05-03 |
1265627301 | Ohiohealth Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 85 Mcnaughten Rd Ste 110, Columbus, OH 43213-5111 | 2007-09-12 |
1316047343 | Central Ohio Thoracic & Cardiovascular Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4236 E Broad St, Columbus, OH 43213-1279 | 2006-09-22 |
1114021797 | Columbus Cardiovascular and Thoracic Surgery Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1750 Churchview Ln, Columbus, OH 43220-4902 | 2006-09-12 |
1013945641 | Patrick Richard Wells | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3525 Olentangy River Rd Ste 5300, Columbus, OH 43214-3937 | 2006-06-30 |
1275570640 | Zulfikar Amin Sharif | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 285 E State St Ste 400, Columbus, OH 43215-4368 | 2006-06-02 |
1871583732 | Thomas Salamon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 340 E Town St, Suite 8-500, Columbus, OH 43215-4600 | 2005-10-24 |
1154324895 | Hector A Dox | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 255 Baptist Blvd Ste 401, Columbus, MS 39705-2006 | 2005-05-25 |
1144854175 | Michael Patrick Vallely | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 452 W 10th Ave, Columbus, OH 43210-1240 | 2020-02-28 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.