Organization Active NPI

Danville Vascular Access, LLC

  • Nephrology Physician
  • Danville, VA
National Provider Identifier
1053687681
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DANVILLE VASCULAR ACCESS, LLC
Practice address
800 Memorial Dr
Suite C
Danville, VA 24541-1679
Phone
(434) 792-6826
Fax
(434) 792-6829
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Joseph Shikorsky
Title
Vice President of Finance
Phone
(610) 644-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

800 Memorial Dr
Suite C
Danville, VA 24541-1679

Mailing address

1200 West Swedesford Road
BLDG 3 Suite 300
Berwyn, PA 19312-1172
Phone (610) 644-8900

National Provider Directory

National Provider Directory

Locations

1200 W Swedesford Rd
Ste 300
Berwyn, PA 19312

800 Memorial Dr
Ste C
Danville, VA 24541
Phone (434) 528-1909

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1053687681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WEST SWEDESFORD ROAD",
            "address_2": "BLDG 3 SUITE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121172",
            "telephone_number": "610-644-8900",
            "fax_number": "610-644-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411679",
            "telephone_number": "434-792-6826",
            "fax_number": "434-792-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE VASCULAR ACCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SHIKORSKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "610-644-8900"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.