PA Vascular Institute LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PA VASCULAR INSTITUTE LLC

Practice address

505 Independence Rd Ste E
East Stroudsburg, PA 18301-7916

Phone

(215) 382-3680

Fax

(215) 240-1677

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James F McGuckin, MD

Title

Ceo

Phone

(215) 382-3680

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jeannine Patrick-Blaikie, CRNP

  • Adult Health Nurse Practitioner
  • Stroudsburg, PA
  • NPI 1083739502
  NPD (past)
• Daniel J Sanza, MSPAS, PA-C

  • Physician Assistant
  • Wilson, NC
  • NPI 1487092193
  NPD (past)
• Summer Toms, PA-C

  • Surgical Physician Assistant
  • Greenville, SC
  • NPI 1003460700
  NPD (past)

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1326310806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 INDEPENDENCE RD STE E",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017916",
            "telephone_number": "215-382-3680",
            "fax_number": "215-240-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 INDEPENDENCE RD STE E",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017916",
            "telephone_number": "215-382-3680",
            "fax_number": "215-240-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Robinson Ave",
            "address_purpose": "LOCATION",
            "city": "Pen Argyl",
            "state": "PA",
            "postal_code": "180721947",
            "country_code": "US",
            "telephone_number": "215-382-3680 x303",
            "fax_number": "215-240-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PA VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailene Ortiz-Gordils
• Hannah Oswald
• Matthew D Ottinger, CRNP
• Andrew James Oxenreider, ATC
• PA Treatment & Healing
• Joseph Paciucci, PA-C
• Pain Resolution, P.C.
• Jeffrey Pallas, PAC
• Kandia Natee Palmer, LMSW
• Natasha Palmer, D.O.

• Vascular & Interventional Radiology Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Vascular & Interventional Radiology Physician in Pennsylvania

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