CARDIOVASCULAR SURGERY CLINIC, PLLC (NPI# 1649211418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649211418 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SURGERY CLINIC, PLLC |
| Practice Address |
6029 Walnut Grove Rd Suite 401 Memphis TN 38120-2112 |
| Practice Telephone | 9017473066 |
| Practice Fax Number | 9017472966 |
| Mailing Telephone | 9017473066 |
| Mailing Fax Number | 9017472966 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |
| NPI Deactivation Date | 02/04/2019 |
| NPI Reactivation Date | 2019-04-24 |
| Authorized Official Name | HARVEY EDWARD GARRETT (PRESIDENT) |
| Authorized Official Telephone | 9017473066 |
| 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) | 17068 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016196 | 05 | |
| AR | BCBS GRP # | 8P057 | 01 |
| TN | 3713059 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669879235 | Cardiovascular Surgery Clinic, Pllc | Specialist | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2014-11-26 |
| Street Address |
6029 WALNUT GROVE RD SUITE 401 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1932731957 | Summer Rhae Hess | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2020-02-07 |
| 1396207882 | Ashley Marie Hatchett | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2019-04-03 |
| 1477966687 | Saint Francis Medical Partners, General Surgery, L.L.C. | Colon & Rectal Surgery | 6029 Walnut Grove Rd, Ste. 404, Memphis, TN 38120-2112 | 2014-06-05 |
| 1164745238 | Mid South Regional Thoracic Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112 | 2010-03-03 |
| 1104056555 | Rachel E. Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2009-07-20 |
| 1063673184 | Cardiac Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 109, Memphis, TN 38120-2112 | 2008-06-20 |
| 1578723276 | Drew S. Dill | Internal Medicine | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2008-06-16 |
| 1336313170 | Anton Surath Nisetus Dias Perera | Surgery | 6029 Walnut Grove Rd, Suite # 401, Memphis, TN 38120-2112 | 2008-04-14 |
| 1730361429 | Memphis Eye Clinic Plc | Ophthalmology | 6029 Walnut Grove Rd, Suite 101, Memphis, TN 38120-2112 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 |
|---|---|---|---|---|
| 1376635888 | James Wynford Pate | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 956 Court, Suite G212, Memphis, TN 38163 | 2006-09-29 |
| 1558472043 | Darryl Seth Weiman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 956 Court Ave, Memphis, TN 38163-2116 | 2006-08-31 |
| 1922076272 | Christopher Knott-craig | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2006-03-11 |
| 1255330957 | Edward T Robbins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6027 Walnut Grove Road, Suite 203, Memphis, TN 38120 | 2005-07-15 |
| 1821534058 | Dr. Alim Khandekar Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1264 Wesley Dr, Suite 201, Memphis, TN 38116-6400 | 2017-01-11 |
| 1316224132 | Saint Francis Cardiovascular Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6005 Park Ave, Suite 825 B, Memphis, TN 38119-5202 | 2011-11-08 |
| 1164745238 | Mid South Regional Thoracic Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112 | 2010-03-03 |
| 1104056555 | Rachel E. Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2009-07-20 |
| 1245486364 | Sandeep Sainathan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2008-08-08 |
| 1063673184 | Cardiac Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 109, Memphis, TN 38120-2112 | 2008-06-20 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on CARDIOVASCULAR SURGERY CLINIC, PLLC.
| 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.