DR. VINCENT M DIGIOVANNI (NPI# 1154361277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154361277 |
Entity Type | Individual |
Full Name | DR. VINCENT M DIGIOVANNI |
Credential | D.O. |
Practice Address |
1098 W Baltimore Pike Suite 3308 Riddle Health Center 3 Media PA 19063-5139 |
Practice Telephone | 6105658564 |
Practice Fax Number | 6105653046 |
Mailing Telephone | 6105658564 |
Mailing Fax Number | 6105653046 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2015-10-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OS011824 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194054007 | Vincent Paul Digiovanni | Nutritionist | 10500 Lackman Rd, Jc Penney Medical Office, Lenexa, KS 66219 | 2009-12-24 |
1497789135 | Vincent John Digiovanni | Psychiatry & Neurology | 575 E Main St, Wilkes Barre, PA 18702-6944 | 2006-07-10 |
Street Address |
1098 W BALTIMORE PIKE SUITE 3308 RIDDLE HEALTH CENTER 3 |
City | MEDIA |
State | PA |
Zip Code | 19063-5139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265374 | Anthony Antonello Jr. | Ophthalmology | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2005-06-17 |
1801308515 | Amanda Lynn Mcgough | Physician Assistant | 1098 W Baltimore Pike, Media, PA 19063-5139 | 2017-11-02 |
1508300187 | Steven Mackay | Physician Assistant | 1098 W Baltimore Pike, Suite 3402, Media, PA 19063-5139 | 2016-12-15 |
1972055895 | Caitlyn Cassey | Optometrist | 1098 W Baltimore Pike, Outpatient Pavillion Suite 3302, Media, PA 19063-5139 | 2016-10-26 |
1447602982 | Gregory Alan Seidel | Clinical Neuropsychologist | 1098 W Baltimore Pike, Suite 2205, Media, PA 19063-5139 | 2016-07-08 |
1720449176 | Marissa Sanner | Midwife | 1098 W Baltimore Pike, Ste 3106, Media, PA 19063-5139 | 2016-03-14 |
1083084040 | Maureen Lubas | Nurse Practitioner | 1098 W Baltimore Pike, Suite 3101, Media, PA 19063-5139 | 2015-10-03 |
1720488208 | Kirstin Liu | Nurse Practitioner | 1098 W Baltimore Pike, Suite 3404 Riddle Health Center 3, Media, PA 19063-5139 | 2014-09-03 |
1518201466 | Jennifer Lynn Leman | Physician Assistant | 1098 W Baltimore Pike, Suite 3402, Media, PA 19063-5139 | 2012-11-15 |
1841543030 | Riddle Eye Associates PC | Optometrist | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2012-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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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 |
---|---|---|---|---|
1346296688 | Rmh Vascular Lab Group, P.C. | Surgery | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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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.