DAYTON CARDIAC SURGERY (NPI# 1295059129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295059129 |
| Entity Type | Organization |
| Organization Name | DAYTON CARDIAC SURGERY |
| Practice Address |
627 S Edwin C Moses Blvd Suite Emp 5j Dayton OH 45417-3461 |
| Mailing Address |
Po Box 750243 Dayton OH 45475-0243 |
| Practice Telephone | 9379389194 |
| Practice Fax Number | 9379389242 |
| Mailing Telephone | 9379389194 |
| Mailing Fax Number | 9379389242 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | DR. PANKAJ KULSHRESTHA (PRESIDENT) |
| Authorized Official Telephone | 9379389194 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35088325 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2677116 | 05 |
| Street Address |
627 S EDWIN C MOSES BLVD SUITE EMP 5J |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919065 | Dvl Vascular Lab Inc | Radiology | 627 S Edwin C Moses Blvd, Suite 3h, Dayton, OH 45417-3461 | 2005-08-17 |
| 1447813720 | Andy Chung Hur | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2019-04-22 |
| 1932669033 | Brandon Saia | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45417 | 2019-03-23 |
| 1952832446 | Jonathan Hester | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza, 1st Floor, Dayton, OH 45417-3461 | 2017-03-25 |
| 1275081564 | Jonathan Omane | Physician Assistant | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2016-09-14 |
| 1134574098 | Randy Smith | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2016-04-28 |
| 1982099941 | David Provaznik Jr. | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza 1st Floor, Dayton, OH 45417-3461 | 2015-04-06 |
| 1700206992 | Logan Parrott | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2014-04-26 |
| 1639483217 | Matthew R Newton | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, Department of Psychiatry, Dayton, OH 45417-3461 | 2010-08-05 |
| 1821220153 | Rhamey Allyn Tubbs | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, Dayton, OH 45408-1461 | 2009-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
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| 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 |
|---|---|---|---|---|
| 1578595765 | Advanced Heart & Lung Surgeons, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E Apple St Ste 4256, Dayton, OH 45409 | 2006-07-07 |
| 1811944531 | Premier Cardiothoracic and Vascular Surgeons Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E Apple St Ste 6200, Dayton, OH 45409-2939 | 2006-05-28 |
| 1841507241 | Premier Health Specialists Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2010-09-07 |
| 1285808543 | Premier Health Specialists Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2008-04-17 |
| 1689880346 | Jose Rodriguez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2007-05-16 |
| 1982724175 | Marion Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Wyoming St, Dayton, OH 45409-2722 | 2007-03-30 |
| 1003839275 | Douglas Edward Paull | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-07-26 |
| 1760413272 | Kok H Lim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E Apple St Ste 6200, Dayton, OH 45409-2939 | 2006-07-05 |
| 1801875877 | John M Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2006-01-10 |
| 1265410203 | Scot W Denmark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 S Main St, Suite 3, Dayton, OH 45409 | 2006-01-09 |
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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.