Provider Demographics
NPI:1679753180
Name:ADVANCED CARDIOTHORACIC SURGEONS
Entity Type:Organization
Organization Name:ADVANCED CARDIOTHORACIC SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-286-6900
Mailing Address - Street 1:38800 GARFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6618
Mailing Address - Country:US
Mailing Address - Phone:586-286-6900
Mailing Address - Fax:586-286-6960
Practice Address - Street 1:38800 GARFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-6618
Practice Address - Country:US
Practice Address - Phone:586-286-6900
Practice Address - Fax:586-286-6960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI043840208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI330E023780OtherBCBSM GROUP PIN
MI4584857Medicaid
MIA77053Medicare UPIN
MI4584857Medicaid