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Central Alabama Thoracic and Cardiovascular Surgery, P.A.

Details

Name: Central Alabama Thoracic and Cardiovascular Surgery, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 18 May 1979 (46 years ago) (Companies founded in May 1979)
Date of dissolution: 03 Nov 2017
Entity Number: 000-056-486
Register Number: 000056486
Historical Names: Richard J. Cyrus, M.D., P.A.
Drs. Cyrus and Richardson, Thoracic and Cardiovascular Surgery, P.A.
Place of Formation: Montgomery County
Principal Address: 303 S RIPLEY STREET SUITE 6200MONTGOMERY, AL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356404362 2006-12-19 2007-11-15 2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL, 361162001, US 2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL, 361162001, US

Contacts
Phone +1 334-286-9500
Fax 3342869380

Authorized person
Name DR. PAUL LOUIS CAMMACK
Role PRESIDENT
Phone 3342869500

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number 9494
State AL
Is Primary Yes

Other Provider Identifiers
Issuer RRMC-PIN
Number CI0175
State GA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2017 630768928 2018-11-09 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 6509 WYNWOOD PL, MONTGOMERY, AL, 36117
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2017 630768928 2018-04-23 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 6509 WYNWOOD PL, MONTGOMERY, AL, 36117
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2016 630768928 2017-07-11 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 301, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing LEANNE BARBER
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2015 630768928 2016-07-26 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing LEANNE BARBER
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2014 630768928 2015-07-08 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing LEANNE BARBER
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2013 630768928 2014-06-30 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing LEANNE BARBER
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2012 630768928 2013-07-11 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing LEANNE BARBER
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2011 630768928 2012-07-26 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Plan administrator’s name and address
Administrator’s EIN 630768928
Plan administrator’s name CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A.
Plan administrator’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342869500

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing PAUL L. CAMMACK
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2010 630768928 2011-07-20 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Plan administrator’s name and address
Administrator’s EIN 630768928
Plan administrator’s name CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A.
Plan administrator’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342869500

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing PAUL L. CAMMACK
CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 401(K) PLAN 2009 630768928 2010-06-29 CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A. 6
Three-digit plan number (PN) 002
Effective date of plan 1979-04-02
Business code 621111
Sponsor’s telephone number 3342869500
Plan sponsor’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116

Plan administrator’s name and address
Administrator’s EIN 630768928
Plan administrator’s name CENTRAL ALABAMA THORACIC AND CARDIOVASCULAR SURGERY, P.A.
Plan administrator’s address 2055 E. SOUTH BOULEVARD, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342869500

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing LEANNE BARBER

Member

Name Role
CYRUS, RICHARD J Member
CAMMACK, PAUL L MD Member

Events

Event Date Event Type Old Value New Value
1986-02-05 Name Change Drs. Cyrus and Richardson, Thoracic and Cardiovascular Surgery, P.A. Central Alabama Thoracic and Cardiovascular Surgery, P.A.
1981-11-01 Name Change Richard J. Cyrus, M.D., P.A. Drs. Cyrus and Richardson, Thoracic and Cardiovascular Surgery, P.A.

Related by officers

CYRUS, RICHARD J

Montgomery Cardiac & Pulmonary Rehabilitation Center, Inc.

Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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