DR. TADAHISA SUGIURA (NPI# 1942704267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942704267 |
| Entity Type | Individual |
| Full Name | DR. TADAHISA SUGIURA |
| Credential | MD |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Mailing Address |
1575 Blondell Ave Ste 125 Bronx NY 10461-2660 |
| Practice Telephone | 7189202958 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 294777 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| 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 |
|---|---|---|---|---|
| 1043334329 | Robert W Frater | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Blondell Ave Ste 125, Bronx, NY 10461-2660 | 2007-03-19 |
| 1629162953 | Francois Lacour-gayet | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3400 Bainbridge Avenue 5th Fl., Mmc Department of Cardio Thoracic Surgery, Bronx, NY 10467 | 2006-10-03 |
| 1225663511 | Elizabeth Katz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 E 210th St, Bronx, NY 10467-2401 | 2020-03-06 |
| 1891265450 | Simone Nicole Torres | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 East 210th Street, Bronx, NY 10467 | 2018-11-27 |
| 1285109660 | Nicole Virginia Pagones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 E 210th St, Bronx, NY 10467-2401 | 2018-10-11 |
| 1942597083 | Stephen John Forest | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3400 Bainbridge Ave, Map 5, Bronx, NY 10467-2404 | 2011-07-08 |
| 1578779807 | Mei Lun Chau | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 E 210th St, Bronx, NY 10467-2401 | 2007-05-15 |
| 1437221702 | Enrique Augusto Bonfils-roberts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 234 E 149th St, 620, Bronx, NY 10451-5504 | 2006-11-14 |
| 1043390693 | Daniel Goldstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mmc - Dept. of Ct Surgery, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-17 |
| 1124108774 | Steven M Keller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Blondell Ave, Suite 125, Bronx, NY 10461-2660 | 2006-10-17 |
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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.