Active NPI
Fresenius Vascular Care, Inc
- Vascular & Interventional Radiology Physician
- Waltham, MA
National Provider Identifier
1104285121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- FRESENIUS VASCULAR CARE, INC
- Practice address
- 920 Winter St
Waltham, MA 02451-1521 - Phone
- (781) 699-9000
- NPI assigned
- Feb 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey E Snodgrass
- Title
- General Manager
- Phone
- (610) 644-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
920 Winter St
Waltham, MA 02451-1521
Mailing address
920 Winter St
Waltham, MA 02451-1521
Phone (781) 699-9000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1104285121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511521",
"telephone_number": "781-699-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511521",
"telephone_number": "781-699-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS VASCULAR CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "610-644-8900"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.