JIRI KONECNY (NPI# 1861449373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861449373 |
| Entity Type | Individual |
| Full Name | JIRI KONECNY |
| Credential | DO |
| Practice Address |
3044 Atlantic Ave Long Beach CA 90807 |
| Practice Telephone | 5625958418 |
| Practice Fax Number | 5625958430 |
| Mailing Telephone | 5625958418 |
| Mailing Fax Number | 5625958430 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20A7020 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3044 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| 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 |
|---|---|---|---|---|
| 1487995841 | Jack H M Kwaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2141 Ocana Ave, Long Beach, CA 90815-3221 | 2013-03-11 |
| 1588969265 | Ronald I Ryzoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 42 Heron St, Long Beach, NY 11561-2609 | 2011-01-11 |
| 1093018350 | Guy G Lemire Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5122 Marina Pacifica Dr S, Long Beach, CA 90803-3822 | 2010-12-08 |
| 1255435749 | Marshall Edward Redding | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2530 Atlantic Avenue, #b, Long Beach, CA 90806 | 2006-09-12 |
| 1689632614 | Guy Gerard Lemire | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5122 Marina Pacifica Dr S # 18, Long Beach, CA 90803-3822 | 2006-05-01 |
| 1215230370 | Humberto R. Ravelo, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2865 Atlantic Ave, 215, Long Beach, CA 90806-1740 | 2010-12-13 |
| 1740469147 | Shaun Prasanth Setty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2865 Atlantic Ave, Suite 104, Long Beach, CA 90806-1740 | 2007-11-01 |
| 1891908190 | Robert L Shuman Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 701 E 28th St, Suite 101, Long Beach, CA 90806-2759 | 2007-05-07 |
| 1235286014 | Daniel M.bethencourt, M.d., Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2865 Atlantic Ave, Suite 205, Long Beach, CA 90806-1740 | 2007-01-04 |
| 1417064221 | Robert Luther Shuman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3828 Schaufele Ave Ste 340, Long Beach, CA 90808-1793 | 2006-08-25 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.