MIDATLANTIC CARDIOTHORACIC & VASCULAR ASSOC (NPI# 1770663957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770663957 |
| Entity Type | Organization |
| Organization Name | MIDATLANTIC CARDIOTHORACIC & VASCULAR ASSOC |
| Practice Address |
501 Bath Road Suite 215 Bristol PA 19007 |
| Practice Telephone | 2157859905 |
| Practice Fax Number | 2157856794 |
| Mailing Telephone | 2157859905 |
| Mailing Fax Number | 2157856794 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES AZYBUIKE ANENE (PRESIDENT OWNER) |
| Authorized Official Telephone | 2157859905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA06518800 | NJ | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD066370L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIHEALTH | 0824589000 | 01 | |
| AETNA | 2372310 | 01 | |
| IBC | 0824589000 | 01 | |
| KEYSTONE MERCY HLTH PLAN | 1125019 | 01 | |
| CIGNA | 8211867002 | 01 | |
| NJ | MEDICARE | 012207 | 01 |
| HIGHMARK | 914465 | 01 | |
| AMERICHOICE | 0152107202 | 01 | |
| NJ MEDICAL ASSISTANCE | 8438706 | 01 | |
| PA | 001820720001 | 05 |
| Street Address |
501 BATH ROAD SUITE 215 |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680741 | Andrea Carolina Davila | Family Medicine | 501 Bath Road, Bristol, PA 19007 | 2020-05-11 |
| 1942726567 | Amanda Lynn Newsham | Counselor | 501 Bath Road, Bristol, PA 19007 | 2017-08-15 |
| 1093052367 | Emergency Associates of Lower Bucks | Emergency Medicine | 501 Bath Road, Bristol, PA 19007 | 2013-01-07 |
| 1811179674 | Advanced Primary Care Physicians | Family Medicine | 501 Bath Road, Bristol, PA 19007-3101 | 2007-12-03 |
| 1992863153 | Martin R. Mersky, M.d., P.C. | Clinic/Center | 501 Bath Road, Suite 203, Bristol, PA 19007-3101 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| 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 |
|---|---|---|---|---|
| 1053821520 | J March Maquilan Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Bath Rd, Bristol, PA 19007-3101 | 2017-10-10 |
| 1730177155 | Marcus G Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2005-10-10 |
| 1134115777 | William H Messerschmidt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707847 | West Virginia Univesity Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1163 Country Club Rd Ste 106, Monongahela, PA 15063-1013 | 2020-04-01 |
| 1861959884 | Pedro Augusto Reck Dos Santos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St # C900, Pittsburgh, PA 15213-2536 | 2019-02-26 |
| 1023582418 | Luciana Da Fonseca Da Silva | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Penn Ave Fl 5, Pittsburgh, PA 15224-1334 | 2019-01-18 |
| 1962980730 | Wellspan Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 40 V Twin Dr Ste 102, Gettysburg, PA 17325-7878 | 2018-08-02 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
| 1710386420 | Ferdinand Christian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 Turnbury Ln, North Wales, PA 19454-3657 | 2014-08-19 |
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| 1215279112 | Jeffrey M Dunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 W. Washington Sq, #1207, Philadelphia, PA 19106 | 2013-03-19 |
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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.