Active NPI
Chester County Heart and Vascular Center PC
- Cardiovascular Disease Physician
- West Grove, PA
National Provider Identifier
1356581334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD436022
- Legal business name
- CHESTER COUNTY HEART AND VASCULAR CENTER PC
- Practice address
- 1011 W Baltimore Pike
Ste 101
West Grove, PA 19390-9446 - Phone
- (610) 869-3564
- Fax
- (610) 869-6042
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fadi M Shamsham, MD
- Title
- Physician/President
- Phone
- (610) 869-3564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD436022 | PA | Primary |
Addresses
Primary practice location
1011 W Baltimore Pike
Ste 101
West Grove, PA 19390-9446
Mailing address
1011 W Baltimore Pike
Ste 101
West Grove, PA 19390-9446
Phone (610) 869-3564
National Provider Directory
National Provider DirectoryLocations
1011 W Baltimore Pike
Ste 101
West Grove, PA 19390
Phone (610) 374-4401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1356581334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W BALTIMORE PIKE",
"address_2": "STE 101",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909446",
"telephone_number": "610-869-3564",
"fax_number": "610-869-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W BALTIMORE PIKE",
"address_2": "STE 101",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909446",
"telephone_number": "610-869-3564",
"fax_number": "610-869-6042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTER COUNTY HEART AND VASCULAR CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "SHAMSHAM",
"authorized_official_first_name": "FADI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "610-869-3564",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD436022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.