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NPI 1982128690ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Philadelphia, PA

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, Pennsylvania, registered in NPPES in August 2017. The authorized official on file is Amiee Brennan, Credentialing Supervisor.

Overview

NPI1982128690
StatusActive
Entity typeOrganization
NPI issuedAug 3, 2017
Last updated in NPPESMar 17, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary208G00000X——
Internal Medicine, Cardiovascular Disease207RC0000X——
Internal Medicine, Clinical Cardiac Electrophysiology207RC0001X——
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X——
Internal Medicine, Gastroenterology207RG0100X——
Internal Medicine, Hematology & Oncology207RH0003X——
Internal Medicine, Interventional Cardiology207RI0011X——
Internal Medicine, Medical Oncology207RX0202X——
Neurological Surgery207T00000X——
Obstetrics & Gynecology, Gynecology207VG0400X——
Orthopaedic Surgery207X00000X——
Pathology, Anatomic Pathology & Clinical Pathology207ZP0102X——
Radiology, Radiation Oncology2085R0001X——
Surgery208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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