ST. ELIZABETH MEDICAL CENTER, INC DBA ST. ELIZABETH CARDIAC SURGEONS (NPI# 1588620868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588620868 |
| Entity Type | Organization |
| Organization Name | ST. ELIZABETH MEDICAL CENTER, INC DBA ST. ELIZABETH CARDIAC SURGEONS |
| Other Organization Name | ST. ELIZABETH CARDIAC SURGEONS |
| Practice Address |
20 Medical Village Drive Edgewood KY 41017 |
| Mailing Address |
1360 Dolwick Drive Erlanger KY 41018 |
| Practice Telephone | 8593019010 |
| Practice Fax Number | 8593019018 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593445552 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | LORI RITCHEY-BALDWIN (CFO) |
| Authorized Official Telephone | 8596551643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200288340 | 05 | |
| KY | 65946097 | 05 |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Cardiac Surgeons | Doing Business As Name - Organization |
| St. Elizabeth Healthcare Cardiac Surgeons | Doing Business As Name - Organization |
| Street Address |
20 MEDICAL VILLAGE DRIVE |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213028 | Vincent Thomas Bilotta | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 302, Edgewood, KY 41017-5402 | 2005-05-24 |
| 1841683562 | Mallory Naber Mosko | Physician Assistant | 20 Medical Village Drive, Edgewood, KY 41017-4101 | 2015-03-05 |
| 1760888101 | David Seth Reinhardt | Nurse Anesthetist, Certified Registered | 20 Medical Village Drive, Independent Anesthesiologist, Psc #258, Edgewood, KY 41017 | 2014-11-12 |
| 1023176393 | Ob-gyn Specialists of Northern Ky | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 302, Edgewood, KY 41017 | 2006-12-05 |
| 1780767004 | Erlinda Gambito | Anesthesiology | 20 Medical Village Drive, #258 Independent Anesthesiologists Psc, Edgewood, KY 41017 | 2006-10-23 |
| 1598771669 | Barbara J Bell | Nurse Practitioner | 20 Medical Village Drive, Edgewood, KY 41017 | 2006-07-31 |
| 1285678961 | Womens Health Care of Northern Ky Psc | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 354, Edgewood, KY 41017 | 2006-06-15 |
| 1285683219 | Vincent M Lubrano | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 354, Edgewood, KY 41017 | 2006-05-08 |
| 1841248788 | Jeffrey D Gochoel | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 354, Edgewood, KY 41017 | 2006-05-04 |
| 1386649101 | Adam Thomas Crawford | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 302, Edgewood, KY 41017-5402 | 2005-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1669637187 | George Clifton Christensen IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2008-07-24 |
| 1841215597 | James P Locher Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2006-07-13 |
| 1124085980 | Karl Stephen Ulicny II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2006-04-27 |
| 1477510386 | Raymond Joseph Will | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Medical Village Dr, Ste. 105, Edgewood, KY 41017-5401 | 2006-04-26 |
| 1013973262 | Victor Schmelzer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2006-04-25 |
| 1477535110 | Royce Ford Calhoun II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982066197 | Rebecca Lee Phillip | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, Dept. of Cardiothoracic Surgery, 740 South Limestone, Suite A301, Lexington, KY 40536 | 2016-03-26 |
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1255586855 | Thomas A. Donohue, Md, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 119 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2008-11-24 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1649313164 | Kentucky Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Hospital Way Ste 220, Somerset, KY 42503-1877 | 2007-02-14 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1790888113 | Robert K Salley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd Ste B275, Lexington, KY 40504-1775 | 2006-09-07 |
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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.