KEVIN M RADECKI


Address: 5965 E Broad St, Suite 340, Columbus, OH 43213-1562
Phone: 6142347505

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5965 E BROAD ST
SUITE 340
City COLUMBUS
State OH
Zip Code 43213-1562

Providers in the same location

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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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City COLUMBUS
Zip Code 43213

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Dataset Information

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.

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