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NPI Profile for TIMOTHY B ICENOGLE in OGDEN, UT.
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery | |
Transplant Surgery |
204F00000X | 02 | Physician/General Surgery |
| NPI # | 1285683029 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/09/2006 | |
| Last updated | 12/13/2022 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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TIMOTHY B ICENOGLE
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TIMOTHY B ICENOGLE, MD