NPIMap

Organization Active NPI

Phoenixville Surgery Associates LLC

  • Vascular Surgery Physician
  • Limerick, PA
National Provider Identifier
1275840274
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
PHOENIXVILLE SURGERY ASSOCIATES LLC
Practice address
420 W Linfield Trappe Rd
Suite 3200
Limerick, PA 19468-4278
Phone
(610) 495-2550
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Edward K. Pavillard, D.O.
Title
President
Phone
(610) 495-2550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

420 W Linfield Trappe Rd
Suite 3200
Limerick, PA 19468-4278

Mailing address

420 W Linfield Trappe Rd
Suite 3200
Limerick, PA 19468-4278
Phone (610) 495-2550

National Provider Directory

National Provider Directory

Locations

420 W Linfield Trappe Rd
Ste 3200
Royersford, PA 19468
Phone (610) 495-2550

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1275840274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LINFIELD TRAPPE RD",
            "address_2": "SUITE 3200",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194684278",
            "telephone_number": "610-495-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LINFIELD TRAPPE RD",
            "address_2": "SUITE 3200",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194684278",
            "telephone_number": "610-495-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXVILLE SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "PAVILLARD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-495-2550",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.