MARIO MATOS-CRUZ (NPI# 1588868616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588868616 |
| Entity Type | Individual |
| Full Name | MARIO MATOS-CRUZ |
| Credential | M.D. |
| Practice Address |
830 W High St Ste 207 Lima OH 45801-3975 |
| Mailing Address |
Po Box 432 Pikeville KY 41502-0432 |
| Practice Telephone | 4199964011 |
| Practice Fax Number | 4199964012 |
| Mailing Telephone | 6062186402 |
| Mailing Fax Number | 6062187502 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35065706 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 20010800A | 05 | |
| OH | 0065177 | 05 |
| Street Address |
830 W HIGH ST STE 207 |
| City | LIMA |
| State | OH |
| Zip Code | 45801-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568418622 | John H. Sirak | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 W High St Ste 207, Lima, OH 45801-3975 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| 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 |
|---|---|---|---|---|
| 1568418622 | John H. Sirak | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 W High St Ste 207, Lima, OH 45801-3975 | 2006-05-26 |
| 1679562920 | Farzin Fotouhi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 | 2005-10-19 |
| 1700875051 | Ronald L Pohl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2005-10-19 |
| 1548570567 | Kwabena Mawulawde | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 951 Commerce Pkwy, Ste 201, Lima, OH 45804-4040 | 2010-10-08 |
| 1093745028 | Anthony Ian Nunez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 730 W Market St Ste 2k, Lima, OH 45801-4602 | 2006-07-04 |
| 1417907155 | Ohio Cardiothoracic & Vasuclar Surgeons Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 | 2006-05-11 |
| 1851366892 | Nnamdi Azie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 | 2006-02-22 |
| 1821077553 | Jay J Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 730 W Market St Ste 2k, Lima, OH 45801-4602 | 2006-01-11 |
| 1508841172 | Gary Louis Parenteau | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 730 W Market St Ste 2k, Lima, OH 45801-4602 | 2005-12-07 |
| 1659360915 | Sirish Parvathaneni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 | 2005-10-19 |
| Find all providers in LIMA | ||||
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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.