Integrated Surgical Associates

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD016183E Issued in PA

Legal business name

INTEGRATED SURGICAL ASSOCIATES

Practice address

103 Squirrel Run
Clarks Green, PA 18411-8960

Phone

(570) 346-9336

Fax

(570) 587-3703

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terence Cochoran, MD

Title

President

Phone

(570) 346-9336

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255353397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUIRREL RUN",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184118960",
            "telephone_number": "570-346-9336",
            "fax_number": "570-587-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SQUIRREL RUN",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184118960",
            "telephone_number": "570-346-9336",
            "fax_number": "570-587-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHORAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-346-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD016183E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011525440003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Ford
• Tiffany Ann Frisbie, PTA
• Corey Gazoo, PSY.D.
• Tristan Amber Groover, LSW
• Jeanne Helbig
• Iris Counseling, LLC
• Jo LLC
• Janine Marie Kane, DPT
• Sneha Lakhotia, RDN
• Alyssa M Lavelle, LCSW

• Vascular Surgery Physician in Clarks Green, PA
• Providers in Clarks Green, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.