Metrowest Vascular PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

METROWEST VASCULAR PC

Practice address

67 Union St
Natick, MA 01760-7700

Phone

(508) 655-8900

Fax

(508) 650-7926

NPI assigned

Oct 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arnold Miller, MDNPI 1609862994

Title

President

Phone

(508) 655-8900

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arnold Miller, MD

  • Specialist
  • Natick, MA
  • NPI 1609862994
  NPD (past) Authorized official
• Charles C Paniszyn, M.D.

  • Vascular Surgery Physician
  • Natick, MA
  • NPI 1568687929
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033108576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TOTTEN POND RD",
            "address_2": "MZI",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511991",
            "telephone_number": "781-890-9933",
            "fax_number": "781-890-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-655-8900",
            "fax_number": "508-650-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST VASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-655-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17754",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9706500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "690448",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metrowest Mind Body Counseling LLC
• Metrowest Pathology Associates
• Metrowest Ultrasound LLC
• Metrowest Urologic Associates PC
• Metrowest Urology, P.C.
• Michael Crincoli, MD, PC
• Michael G Kennedy MD PC
• Marissa Michael
• Michaelcrincoli, PC
• Jacklyn Middleton

• Vascular Surgery Physician in Natick, MA
• Providers in Natick, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.