ENDOVASCULAR CONSULTANTS, LLC (NPI# 1467995514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467995514 |
Entity Type | Organization |
Organization Name | ENDOVASCULAR CONSULTANTS, LLC |
Practice Address |
202 S Ashview Ln Wilmington DE 19807-2171 |
Practice Telephone | 3022751867 |
Mailing Telephone | 3022751867 |
Enumeration Date | 2016-11-22 |
Last Update Date | 2016-11-22 |
Authorized Official Name | MARK GARCIA (OWNER) |
Authorized Official Telephone | 3022751867 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
C1-0004350 | DE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 1942260088 | 05 | |
DE | STATE LICENSE | C1-0004350 | 01 |
Street Address |
202 S ASHVIEW LN |
City | WILMINGTON |
State | DE |
Zip Code | 19807-2171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
1881847580 | Michael D. Lenz | Dentist | 2309 Pennsylvania Ave., Wilmington, DE 19807 | 2008-10-28 |
1801934104 | Christine Lynne Eckery | Counselor | 230 Presidential Drive, Suite 003, Wilmington, DE 19807 | 2007-02-01 |
1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
1164421731 | Elizabeth L Thomas-bauer, Np | Nurse Practitioner | 3506 Kennett Pike, Suite 301, Wilmington, DE 19807 | 2005-07-18 |
1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
1063805315 | Acts Signature Community Services, Inc. | Internal Medicine | 4830 Kennett Pike, Wilmington, DE 19807 | 2015-03-11 |
1790085249 | Mary Brent Whipple | Social Worker | 100 N Dupont Rd, Wilmington, DE 19807 | 2010-11-01 |
1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
1578700472 | Sonia E Palermo | Nurse Practitioner | 3506 Kennett Pike, Wilmington, DE 19807 | 2009-01-14 |
Find all providers in zip 19807 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164421574 | Imaging Group of Delaware, Pa | Radiology | 701 N Clayton St, Wilmington, DE 19805-3165 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033539168 | Geh Meh Chu | Radiology | 640 S State St, Dover, DE 19901-3530 | 2014-04-16 |
1851730360 | Helen Hyejin Paik | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-4238 | 2013-06-18 |
1942553615 | Christiana Care Health Services Inc | Radiology | 4755 Ogletown Stanton Rd, Christiana Hospital, Newark, DE 19718-2200 | 2012-10-18 |
1588921829 | Uchenna Nwosu | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2012-04-11 |
City | WILMINGTON |
Zip Code | 19807 |
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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.