TREASURE COAST THORACIC SURGERY P.A. NPI 1538155197

NPI Information

  • NPI: 1538155197
  • Provider Name: TREASURE COAST THORACIC SURGERY, P.A.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Former Legal Business Name: BREVARD CARDIOTHORACIC SURGEONS, PA
  • Address: 816 US HIGHWAY 1
    SEBASTIAN, FL
    ZIP 32958
  • Phone: (772) 581-5848

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NPI Details

TREASURE COAST THORACIC SURGERY, P.A. is a thoracic surgery cardiothoracic vascular surgery in Sebastian, FL. The provider is 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. TREASURE COAST THORACIC SURGERY, P.A. NPI is 1538155197. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Brevard Cardiothoracic Surgeons, Pa.

The provider's business location address is:

816 US HIGHWAY 1
SEBASTIAN, FL
ZIP 32958-141
Phone: (772) 581-5848
Fax: (772) 581-5849

The provider's authorized official is Michael A Greene .
The authorized official title is President and has the following contact phone number (772) 581-5848.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121810OTHERFLORIDAFL BCBS GROUP
2330004682OTHERMEDICARE RAILROAD ID
368633OTHERFLORIDADR M GREENE BLUE SHIELD
4254440700MEDICAIDFLORIDA
5373207000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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