WATERFORD VASCULAR ASSOCIATES, P.C.


Address: 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264
Phone: 8607721998

WATERFORD VASCULAR ASSOCIATES, P.C. (NPI# 1336781236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336781236
Entity Type Organization
Organization Name WATERFORD VASCULAR ASSOCIATES, P.C.
Practice Address 903 Hartford Tpke Unit 30
Waterford
CT 06385-4264
Mailing Address 2001 Butterfield Rd Ste 300
Downers Grove
IL 60515-1069
Practice Telephone 8607721998
Practice Fax Number 8607721999
Mailing Telephone 6307252700
Mailing Fax Number 8338425469
Enumeration Date 2019-10-11
Last Update Date 2019-10-11
Authorized Official Name LORENA ESPARZA (REVENUE CYCLE MANAGER)
Authorized Official Telephone 6307252764
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 903 HARTFORD TPKE UNIT 30
City WATERFORD
State CT
Zip Code 06385-4264

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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083859649 Thomas V Divinagracia Radiology 85 Seymour St., Suite 409, Hartford, CT 06106 2008-12-11
1336176270 Daniel Jay Kase Radiology 57 Commercial Blvd, Torrington, CT 06790-3097 2006-06-27
1184686933 Bryan Thomas Suchecki Radiology 65 Douglas Rd, Glastonbury, CT 06033-2219 2006-04-05
1669458766 Domenic A. Zambuto Radiology 110 Albany Tpke, 209, Canton, CT 06019-2547 2005-12-20
1417933961 Fernando F. Illescas Radiology 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 2005-12-16
1700494887 Advanced Radiology Partners LLC Radiology 15 Corporate Dr, Trumbull, CT 06611-1351 2020-07-15
1417574708 K&h Medical Ct Pllc Radiology 160 West Street, Builing 1 Suite 7, Cromwell, CT 06416 2020-07-02
1174168926 Vinay Madan, Md, LLC Radiology 35 Danbury Rd, Wilton, CT 06897-4428 2019-11-14
1639739634 Vein Centers, LLC Radiology 23 Cedar St, New Britain, CT 06052-1301 2019-06-20
1417361627 James Gardner Radiology 20 York St, New Haven, CT 06510-3220 2014-06-16
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Competitor

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City WATERFORD
Zip Code 06385

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Dataset Information

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.

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