# CARDIAC SURGERY ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063673184
- **Authorized official:** DR. JERRY BURTON GOOCH MD (PRESIDENT)
- **Authorized official phone:** (901) 747-0017

## Contact information

- **Practice address:** 6029 WALNUT GROVE RD, SUITE 109, MEMPHIS, TN 38120-2112
- **Practice address phone:** (901) 747-0017
- **Practice address fax:** (901) 747-0016
- **Mailing address:** 6029 WALNUT GROVE RD, SUITE 109, MEMPHIS, TN 38120-2112
- **Mailing address phone:** (901) 747-0017
- **Mailing address fax:** (901) 747-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 10/13/2010