Organization Active NPI

Vascular Specialists PC

  • Vascular & Interventional Radiology Physician
  • W Springfield, MA
National Provider Identifier
1154057867
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VASCULAR SPECIALISTS PC
Practice address
86 Ashley Ave
W Springfield, MA 01089-1302
Phone
(413) 693-2852
Fax
(413) 469-2854
NPI assigned
Jul 26, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Sidney Lowell Kahn, MD
Title
Owner
Phone
(413) 693-2852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

86 Ashley Ave
W Springfield, MA 01089-1302

Mailing address

86 Ashley Ave
W Springfield, MA 01089-1302
Phone (413) 693-2852

National Provider Directory

National Provider Directory

Locations

3640 Main St
Ste 302
Springfield, MA 01107
Phone (413) 732-4242

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1154057867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 ASHLEY AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891302",
            "telephone_number": "413-693-2852",
            "fax_number": "413-469-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 ASHLEY AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891302",
            "telephone_number": "413-693-2852",
            "fax_number": "413-469-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-693-2852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.