GOLDEN TRIANGLE CARDIOTHORACIC AND VASCULAR SURGERY (NPI# 1053610089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053610089 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE CARDIOTHORACIC AND VASCULAR SURGERY |
| Practice Address |
2300 Highway 365 Ste 420 Nederland TX 77627-6256 |
| Practice Telephone | 4097227001 |
| Practice Fax Number | 4097227002 |
| Mailing Telephone | 4097227001 |
| Mailing Fax Number | 4097227002 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | DR. SAEED ALLY (MANAGING MEMBER) |
| Authorized Official Telephone | 4097227001 |
| 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) | 12525 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160566901 | 05 |
| Street Address |
2300 HIGHWAY 365 STE 420 |
| City | NEDERLAND |
| State | TX |
| Zip Code | 77627-6256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862954 | Sambasiva Rao Sukhavasi | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2005-06-21 |
| 1770957847 | Sambasiva R Sukhavasi Md Pa | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2015-11-30 |
| 1740535764 | Kalil Al-nassir, Md Pa | Internal Medicine | 2300 Highway 365, Suite 430, Nederland, TX 77627-6256 | 2012-07-16 |
| 1346553120 | Amit M. Patel | Dermatology | 2300 Highway 365, Suite 670, Nederland, TX 77627-6256 | 2010-07-21 |
| 1598094526 | Jamie Broussard Packman | Dietitian, Registered | 2300 Highway 365, Suite 330, Nederland, TX 77627-6256 | 2009-12-22 |
| 1619105079 | Ronald K Mccraw, Phd, Do, Pa | Psychologist | 2300 Highway 365, Suite 610, Nederland, TX 77627-6256 | 2009-06-24 |
| 1578727616 | Curtis E Wills, PC | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-07-17 |
| 1245406933 | Vision Psychological Services LLP | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-05-02 |
| 1174711667 | Virginia J. Rosas | Social Worker | 2300 Highway 365, Suite 110, Nederland, TX 77627-6256 | 2007-10-09 |
| 1346434750 | M.k. Hamza Ph.d., P.a. | Psychologist | 2300 Highway 365, Ste 110, Nederland, TX 77627-6256 | 2007-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635689 | Linda Christine White | Counselor | 2300 Fm 365, Suite 200, Nederland, TX 77627 | 2018-07-10 |
| 1790274462 | Anew Wellness, LLC | Family Medicine | 1005 Nederland Ave, Nederland, TX 77627 | 2018-05-08 |
| 1851800080 | Teekam Lohano, Md Pa | Pediatrics | 2400 Highway 365 Ste 107, Nederland, TX 77627 | 2017-09-20 |
| 1689198129 | Zachary Slay Cecil | Specialist/Technologist | 2101 N 18th St, Nederland, TX 77627 | 2017-07-26 |
| 1336521210 | Kristina Devillier | Counselor | 520 S Twin City Hwy Ste 106, Nederland, TX 77627 | 2015-06-26 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1346518032 | Kyler Counseling Pllc | Counselor | 320 N. 12th St., Nederland, TX 77627 | 2011-12-08 |
| 1093006082 | Gerzain Whitney Gomez | Dentist | 1320 Franklin Ave, Albritton Dental Associates, Nederland, TX 77627 | 2011-04-25 |
| 1689858102 | Chad Hammett M D Pllc | Specialist | 2200 Hwy 365, Nederland, TX 77627 | 2007-12-19 |
| 1760689244 | Jose Vicente Paloma Limjoco | Physical Therapist | 2324 Knickerbocker Drive, Nederland, TX 77627 | 2007-06-28 |
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| 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 |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
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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.