CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES OF EAST TEXAS (NPI# 1710928155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710928155 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES OF EAST TEXAS |
| Practice Address |
10 Medical Center Blvd Suite J Lufkin TX 75904-3163 |
| Practice Telephone | 9366348854 |
| Practice Fax Number | 9366342305 |
| Mailing Telephone | 9366348854 |
| Mailing Fax Number | 9366342305 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BLAINE RANDALL BLAKESTAD (OWNER) |
| Authorized Official Telephone | 9366348854 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | OF1391 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 88G972 | 01 |
| TX | TRICARE | 75904A003 | 01 |
| Street Address |
10 MEDICAL CENTER BLVD SUITE J |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665228 | Lance A Sloan | Internal Medicine | 10 Medical Center Blvd, Suite A, Lufkin, TX 75904-3173 | 2005-08-03 |
| 1881164960 | Jennings N. Naranjo II | Nurse Practitioner | 10 Medical Center Blvd, Suite A, Lufkin, TX 75904 | 2018-11-30 |
| 1639437890 | Aaron K Calodney M.d., P.a. | Anesthesiology | 10 Medical Center Blvd, Suite C, Lufkin, TX 75904-3173 | 2012-04-25 |
| 1316265044 | Mohammad Siddiqui, M.d.,p.a. | Internal Medicine | 10 Medical Center Blvd, Suite B, Lufkin, TX 75904-3173 | 2010-05-05 |
| 1164757639 | Jamie Lynn Parks | Nurse Practitioner | 10 Medical Center Blvd, Suite B, Lufkin, TX 75904-3173 | 2009-10-16 |
| 1972655652 | Dickson O Odero | Internal Medicine | 10 Medical Center Blvd, A, Lufkin, TX 75904-3173 | 2007-01-16 |
| 1881764728 | Carlton J Lewis Do Pa | Family Medicine | 10 Medical Center Blvd, Ste I, Lufkin, TX 75904 | 2006-11-08 |
| 1124091277 | Kyle G Krohn | Internal Medicine | 10 Medical Center Blvd, Suite E, Lufkin, TX 75904-3173 | 2006-02-09 |
| 1194798686 | Karl L Krohn | Internal Medicine | 10 Medical Center Blvd, Suite E, Lufkin, TX 75904-3173 | 2006-02-07 |
| 1740269505 | David Wayne Sees | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Medical Center Blvd, Suite J, Lufkin, TX 75904-3173 | 2006-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| 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 |
|---|---|---|---|---|
| 1568623155 | Basem Ramzi Shabb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2008-06-17 |
| 1740269505 | David Wayne Sees | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Medical Center Blvd, Suite J, Lufkin, TX 75904-3173 | 2006-01-11 |
| 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.