Organization · Type 2 NPI

SSM Cardiovascular and Thoracic Services, Inc.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · St. Charles, MO

NPI number 1114190725 Active

Practice location

400 1st Capitol Dr, Suite 301
St. Charles, MO 63301-2880

Fax (314) 646-1700

Specialties and licenses

Taxonomy	Code	License
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary	208G00000X	None listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: 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 th…

23 other providers at this address

NPI record

NPI: 1114190725
Entity type: Organization (Type 2)
Issued: Apr 4, 2008
Last updated: Apr 4, 2008
Status: Active
Subpart: Yes of SSM Cardiovascular and Thoracic Services, Inc.

Other names

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SSM Cardiovascular and Thoracic Services, Inc. · doing business as

Authorized official

Mr. Mark Renken
Vice President
(314) 989-2160

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114190725

SSM Cardiovascular and Thoracic Services, Inc.'s National Provider Identifier is 1114190725, issued on Apr 4, 2008. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in St. Charles, MO. The record was last updated on Apr 4, 2008.