VASCULAR DIAGNOSTIC CENTER PC


Address: 103 Squirrel Run, Clarks Green, PA 18411-8960
Phone: 5703431900

VASCULAR DIAGNOSTIC CENTER PC (NPI# 1558784538) 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) 1558784538
Entity Type Organization
Organization Name VASCULAR DIAGNOSTIC CENTER PC
Other Organization Name CHARTERED VASCULAR DIAGNOSTIC INC
Practice Address 103 Squirrel Run
Clarks Green
PA 18411-8960
Mailing Address 100 Myles Standish Blvd
Taunton
MA 02780-7340
Practice Telephone 5703431900
Mailing Telephone 5088803700
Enumeration Date 2014-01-28
Last Update Date 2014-04-28
Authorized Official Name TERENCE COCHRAN (PRESIDENT)
Authorized Official Telephone 5703431900
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name VASCULAR DIAGNOSTIC CENTER PC

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Chartered Vascular Diagnostic Inc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508012121 Vascular Diagnostic Center PC Radiology 8 South Dennis Road, Cape May Court House, NJ 08210-2193 2008-08-14
1528233954 Vascular Diagnostic Center PC Surgery 1591 Medical Dr, Pottstown, PA 19464-3224 2008-04-27
1255308441 Vascular Diagnostic Center PC Surgery 700 Quincy Ave, Scranton, PA 18510-1724 2006-03-07

Office Location

Street Address 103 SQUIRREL RUN
City CLARKS GREEN
State PA
Zip Code 18411-8960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619902517 Terence A Cochran Surgery 103 Squirrel Run, Clarks Green, PA 18411-8960 2006-07-11
1255353397 Integrated Surgical Associates Surgery 103 Squirrel Run, Clarks Green, PA 18411-8960 2006-07-25

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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
1669930798 Mvc Pa Pllc Radiology 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 2019-03-07
1205296209 Interventional Solutions Inc. Radiology 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 2016-03-03
1861857906 Lehigh Valley Vascular Institute LLC Radiology 3450 High Point Blvd, Bethlehem, PA 18017-7801 2015-12-16
1447647102 Fresenius Vascular Care Pottstown LLC Radiology 2217 E High St, Pottstown, PA 19464-3215 2015-04-21
1891119764 Aaron Shiloh, Md LLC Radiology 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 2014-02-12
1396081857 Shante D Bennett Radiology 503 North 21st St, Camp Hill, PA 17011 2013-01-02
1326310806 Pa Vascular Institute LLC Radiology 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 2012-01-31
1699090654 Guillaume Boiteau Radiology 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 2010-04-02
1184854531 John Yoon Radiology 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 2009-07-20
1831353879 Pennsylvania Phlebology Group PC Radiology 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 2008-07-17
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Competitor

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City CLARKS GREEN
Zip Code 18411

Improve Information

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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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