# THORACIC AND CARDIOVASCULAR SURGERY INC

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

## Provider details

- **NPI number:** 1962693721
- **Authorized official:** DR. DENNIS J TISHKO MD (PRESIDENT)
- **Authorized official phone:** (614) 575-8500

## Contact information

- **Practice address:** 6275 E BROAD ST, COLUMBUS, OH 43213-1504
- **Practice address phone:** (614) 575-8500
- **Practice address fax:** (614) 575-8500
- **Mailing address:** PO BOX 650, BLACKLICK, OH 43004-0650
- **Mailing address phone:** (614) 575-8500
- **Mailing address fax:** (614) 575-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35054319T | OH | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 12/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0922238 | — | OH |