CK Vascular PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CK VASCULAR PLLC

Practice address

1305 Lees Chapel Rd
Suite 103
Greensboro, NC 27455-2601

Phone

(336) 763-5512

Fax

(336) 763-5515

NPI assigned

May 1, 2014

Last updated

May 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph A. Coladonato, M.D.NPI 1073557633

Title

Managing Partner

Phone

(336) 379-9708

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Coladonato, M.D.

  • Nephrology Physician
  • New Bern, NC
  • NPI 1073557633
  NPD Authorized official

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1053721860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LEES CHAPEL RD",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-763-5512",
            "fax_number": "336-763-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "COLADONATO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "336-379-9708",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.