Provider Demographics
NPI:1487844007
Name:THOMAS KARTIS JR MD PA
Entity Type:Organization
Organization Name:THOMAS KARTIS JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-235-4400
Mailing Address - Street 1:2327 AARON ST
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5305
Mailing Address - Country:US
Mailing Address - Phone:941-235-4400
Mailing Address - Fax:941-235-4402
Practice Address - Street 1:2327 AARON ST
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5305
Practice Address - Country:US
Practice Address - Phone:941-235-4400
Practice Address - Fax:941-235-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K6737Medicare PIN