DELAWARE VASCULAR ASSOCIATES P A (NPI# 1043379290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043379290 |
| Entity Type | Organization |
| Organization Name | DELAWARE VASCULAR ASSOCIATES P A |
| Practice Address |
4735 Ogletown Stanton Rd Medical Arts Pavilion 2 Suite 1208 Newark DE 19713-2072 |
| Practice Telephone | 3027335700 |
| Practice Fax Number | 3027335373 |
| Mailing Telephone | 3027335700 |
| Mailing Fax Number | 3027335373 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | DR. F TODD HARAD (PRESIDENT) |
| Authorized Official Telephone | 3027335700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
1998205736 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000014369 | 05 |
| Street Address |
4735 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 2 SUITE 1208 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415651 | Susan L Chudzik | Nurse Practitioner | 4735 Ogletown Stanton Rd, Mapii Suite 2123, Newark, DE 19713-2072 | 2005-05-27 |
| 1487295721 | Michael Rajnherc | Nurse Anesthetist, Certified Registered | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-10-07 |
| 1679131221 | Kathryn Margaret Godfrey | Psychologist | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-05-30 |
| 1952827446 | Robert F. Onyango | Registered Nurse | 4735 Ogletown Stanton Rd, Map 2, Suite 1250, Newark, DE 19713-2076 | 2017-08-17 |
| 1225565070 | Steven James Larrimore | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-05-11 |
| 1861926032 | Heidi Huntington | Clinical Nurse Specialist | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-04-14 |
| 1336688662 | Alana Coppol Disabatino | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 1250, Newark, DE 19713-2072 | 2017-02-20 |
| 1235678087 | Kimberly Wanner | Nurse Practitioner | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072 | 2017-02-13 |
| 1255878047 | Bioidentical Options, LLC | Specialist | 4735 Ogletown Stanton Rd, Medical Arts Pavilion II Suite 2310, Newark, DE 19713-2072 | 2017-01-31 |
| 1306396650 | Ali Kalamchi, Md | Orthopaedic Surgery | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2016-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415684 | Reid A Ravin | Surgery | 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2200 | 2012-04-02 |
| 1932276755 | Zafar Jamil | Surgery | 306 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-29 |
| 1992818421 | Thomas K Evans | Surgery | 1 Centurian Dr Ste 307, Newark, DE 19713 | 2006-08-17 |
| 1356343586 | William H Phillips | Surgery | 1371 West Main Street, Newark, OH 43055 | 2005-06-01 |
| 1427306240 | Delaware Vascular and Vein Center, LLC | Surgery | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2012-08-28 |
| 1366716060 | Vascular Specialists, P.a. | Surgery | 1 Centurian Dr, Suite 307, Newark, DE 19713-2137 | 2012-02-28 |
| 1689984940 | Asclepius Vascular Services PC | Surgery | 111 Central Avenue, Newark, NJ 07102 | 2010-10-20 |
| 1083858872 | Joe T. Huang | Surgery | 150 Bergen St, F-102, Newark, NJ 07103-2496 | 2009-04-24 |
| 1821101312 | Frederic Todd Harad | Surgery | 4735 Ogletown Stanton Road, Suite 1e20, Newark, DE 19713 | 2006-08-17 |
| 1548373046 | Sonya Natalie Tuerff | Surgery | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2006-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.