Summit Cardiovascular Care LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SUMMIT CARDIOVASCULAR CARE LLC

Practice address

255 W Lancaster Ave
Paoli, PA 19301-1763

Phone

(610) 647-4260

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Nicholas Vaganos, MD

Title

President

Phone

(610) 647-4260

Specialties & licenses 1

Addresses

Other identifiers 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliot Mark Gerber, MD

  • Cardiovascular Disease Physician
  • Paoli, PA
  • NPI 1073552147

  Cardiovascular Disease

  NPD (past)

Locations

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1205148657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175380127",
            "telephone_number": "800-800-1617",
            "fax_number": "866-759-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARDIOVASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "VAGANOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-4260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF PA",
            "identifier": "21425714",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024357250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suburban Audiology and Balance Center, LLC
• Suburban Endocrinology Associates, PC
• Marissa Marie Sudomoin, NP
• Lilia Sugarman, M.D.
• Jennifer A Sulkowski, CRNP
• Hannah Supplee, PA-C
• Gerald Surette, PHD
• Surgical Specialists, P.C.
• Susan J Campling ,RN, Psy.D PC
• Constance B Sutilla, MD

• All providers in Paoli, PA
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.