SD CARDIOTHORACIC SERVICES, INC. (NPI# 1568893808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568893808 |
| Entity Type | Organization |
| Organization Name | SD CARDIOTHORACIC SERVICES, INC. |
| Practice Address |
1069 Delaware Ave Marion OH 43302-1400 |
| Mailing Address |
3124 Bean Oller Rd Delaware OH 43015-9220 |
| Practice Telephone | 7168122047 |
| Mailing Telephone | 7168122047 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DR. SUBHAJIT DATTA (PRESIDENT) |
| Authorized Official Telephone | 7168122047 |
| 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) | 35 092044 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1069 DELAWARE AVE |
| City | MARION |
| State | OH |
| Zip Code | 43302-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107489 | Raymond John Gardner | Family Medicine | 1069 Delaware Ave, Suite 200, Marion, OH 43302-1400 | 2005-07-08 |
| 1689207292 | Brandon Wilson | Nurse Practitioner | 1069 Delaware Ave, Marion, OH 43302-1400 | 2020-02-21 |
| 1902305907 | Kristin Mcintyre | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2018-02-05 |
| 1740634500 | Mima Inc. | Specialist | 1069 Delaware Ave, Ste 105, Marion, OH 43302-1400 | 2016-04-19 |
| 1871953174 | Bucyrus Community Hospital | Clinic/Center | 1069 Delaware Ave, Marion, OH 43302-1400 | 2016-02-29 |
| 1407253925 | Katie Hershey | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2014-11-26 |
| 1033557236 | Amanda I Gandert | Physician Assistant | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 | 2013-06-10 |
| 1780927723 | Bmx Imaging Center, LLC | Clinic/Center | 1069 Delaware Ave, Suite 104b, Marion, OH 43302-1400 | 2013-03-28 |
| 1700180585 | Lab One of Ohio Inc | Clinical Medical Laboratory | 1069 Delaware Ave, Suite 205c, Marion, OH 43302-6459 | 2011-01-07 |
| 1417259680 | Marion Independent Physicians Association, LLC | Family Medicine | 1069 Delaware Ave, Marion, OH 43302-1400 | 2010-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| 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 |
|---|---|---|---|---|
| 1003807090 | Allied Physicians Inc., D/b/a Indiana Ohio Heart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1797 W Kem Rd, Marion, IN 46952-1733 | 2005-10-31 |
| 1902835226 | Robert L Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3331 W Deyoung St, Ste 109, Marion, IL 62959-5896 | 2006-06-30 |
| 1659336485 | Subhajit Datta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1040 Delaware Ave, Marion, OH 43302 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371188 | Christina Marie Babbs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 48 Executive Dr Ste C, Norwalk, OH 44857-2492 | 2019-02-04 |
| 1265911234 | Andres Jadue | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3312 Aberdeen Rd, Shaker Heights, OH 44120-3328 | 2018-08-10 |
| 1598259863 | Bhalinder Dhaliwal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Cleveland Clinic 9500, Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2018-06-19 |
| 1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
| 1366972432 | Per Wierup | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # Deskj4-1, Cleveland, OH 44195-0001 | 2017-06-12 |
| 1952776247 | Hani Kamal Najm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # M41-02, Cleveland, OH 44195-0001 | 2015-12-11 |
| 1205202967 | Anurag Kaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27020 Cedar Rd Apt 406, Beachwood, OH 44122-1133 | 2015-08-18 |
| 1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
| 1508205048 | Shrey Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Ste J4-1, Cleveland, OH 44195-1994 | 2013-06-18 |
| 1457797847 | Charles D. Shook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 718 Glendale Blvd, Mansfield, OH 44907-2226 | 2013-05-13 |
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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.