Organization Active NPI

Vascular Consultants PA

  • Vascular Surgery Physician
  • Newark, DE
National Provider Identifier
1366455123
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
1989032271 Issued in DE
Legal business name
VASCULAR CONSULTANTS PA
Practice address
4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003
Phone
(302) 733-5700
Fax
(302) 733-5775
NPI assigned
Aug 14, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. William J Schickler, M.D.NPI 1740292176
Title
President
Phone
(302) 733-5312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 1989032271 DE Primary

Addresses

Primary practice location

4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003

Mailing address

4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003
Phone (302) 733-5700

Other identifiers 4

IdentifierTypeStateIssuer
0000154702MedicaidDE
0679229000OtherPABLUE CROSS
0679229000OtherDELAWARE VALLEY HMO
0094592OtherUS HEALTH CARE

National Provider Directory

National Provider Directory

Locations

4765 Ogletown Stanton Rd
Ste 1E20
Newark, DE 19713
Phone (302) 733-5312

620 Stanton Christiana Rd
Ste 305
Newark, DE 19713
Phone (302) 999-0144

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1366455123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 OGLETOWN STANTON RD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138003",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 OGLETOWN STANTON RD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138003",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SCHICKLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-733-5312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DE",
            "license": "1989032271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000154702",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0679229000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE VALLEY HMO",
            "identifier": "0679229000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH CARE",
            "identifier": "0094592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.