1558727289 NPI number — CARDIOTHORACIC PROVIDERS AT CHILDRENS

Table of content: (NPI 1558727289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558727289 NPI number — CARDIOTHORACIC PROVIDERS AT CHILDRENS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARDIOTHORACIC PROVIDERS AT CHILDRENS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558727289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1575 NE EXPRESSWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKHAVEN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30329-2401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1575 NORTHEAST EXPY NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKHAVEN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-785-5437
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CODY
Authorized Official First Name:
LOUETTA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER, PROVIDER ENROLLMENT
Authorized Official Telephone Number:
404-785-7876

Provider Taxonomy Codes

  • Taxonomy code: 2086S0120X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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