Organization Active NPI

Vega MD LLC

  • Urology Physician
  • Kittanning, PA
National Provider Identifier
1205019916
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VEGA MD LLC
Practice address
100 Medical Arts BLDG
Suite 110
Kittanning, PA 16201-7135
Phone
(724) 543-9194
Fax
(724) 543-2912
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ROGER E VEGA MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Roger E Vega, M.D
Title
Owner/President
Phone
(724) 543-9194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

100 Medical Arts BLDG
Suite 110
Kittanning, PA 16201-7135

Mailing address

100 Medical Arts BLDG
Suite 110
Kittanning, PA 16201-7135
Phone (724) 543-9194

Other identifiers 1

IdentifierTypeStateIssuer
0007055420002MedicaidPA

National Provider Directory

National Provider Directory
Part of
Vega MD LLC

Locations

300 S Washington St
Butler, PA 16001
Phone (412) 283-7676

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1205019916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 110",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-543-9194",
            "fax_number": "724-543-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 110",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-543-9194",
            "fax_number": "724-543-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROGER E VEGA MD",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-543-9194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007055420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.