Center for Vascular Medicine in LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTER FOR VASCULAR MEDICINE IN LLC

Practice address

33 E County Line Rd Ste D
Greenwood, IN 46143-1078

Phone

(301) 486-4690

NPI assigned

Apr 2, 2020

Organization subpart

Yes

Parent organization

CENTER FOR VASCULAR MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Richard Kennedy, PA-C

Title

Chief Executive Officer

Phone

(301) 982-2000

Specialties & licenses 1

Addresses

Part of

Center for Vascular Med

Locations

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1194354274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 900",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-982-2000",
            "fax_number": "301-982-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E COUNTY LINE RD STE D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431078",
            "telephone_number": "301-486-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VASCULAR MEDICINE IN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR VASCULAR MEDICINE LLC",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-982-2000",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.