Provider Demographics
NPI:1548299431
Name:CARDIOVASCULAR & THORACIC SURGEONS, INC.
Entity type:Organization
Organization Name:CARDIOVASCULAR & THORACIC SURGEONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:S
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:VESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-421-3494
Mailing Address - Street 1:4030 SMITH RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1957
Mailing Address - Country:US
Mailing Address - Phone:513-421-3494
Mailing Address - Fax:513-345-2606
Practice Address - Street 1:4030 SMITH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1957
Practice Address - Country:US
Practice Address - Phone:513-421-3494
Practice Address - Fax:513-345-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100005640AMedicaid
KY65931255Medicaid
CE7413OtherRAILROAD MEDICARE
KY65931255Medicaid
CE7413OtherRAILROAD MEDICARE
OHCA9155187Medicare ID - Type UnspecifiedOH MEDICARE
KY65931255Medicaid
OHCA9155185Medicare ID - Type UnspecifiedOH MEDICARE
OHCA9155186Medicare ID - Type UnspecifiedOH MEDICARE
IN100005640AMedicaid
KY6778Medicare PIN
CE7413Medicare PIN
=========007OtherMEDICAL MUTUAL
KY0923Medicare ID - Type UnspecifiedKY MEDICARE
OHCA9155183Medicare ID - Type UnspecifiedOH MEDICARE
OHCA9155188Medicare ID - Type UnspecifiedOH MEDICARE
OHCA9155181Medicare ID - Type UnspecifiedOH MEDICARE