Active NPI
Bucks County Center for Vein Medicine
- Vascular Surgery Physician
- Langhorne, PA
National Provider Identifier
1407870801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- BUCKS COUNTY CENTER FOR VEIN MEDICINE
- Practice address
- 1205 Langhorne Newtown Rd
Ste 106
Langhorne, PA 19047 - Phone
- (215) 750-7442
- Fax
- (215) 757-5870
- NPI assigned
- Jul 27, 2006
- 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
- Kelly M Callan
- Title
- Office Manager
- Phone
- (215) 750-7442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1205 Langhorne Newtown Rd
Ste 106
Langhorne, PA 19047
Mailing address
1205 Langhorne Newtown Rd
Ste 106
Langhorne, PA 19047
Phone (215) 750-7442
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0566810000 | Other | PA | IBC |
| 0849150001 | Other | PA | MEDICARE TRAVELERS |
| 176453 | Other | PA | OXFORD |
| 117105 | Other | PA | AETNA |
| 322061B | Other | PA | KEYSTONE MERCY |
| 728444 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Southampton, PA
- NPI 1144252057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1407870801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 LANGHORNE NEWTOWN RD",
"address_2": "STE 106",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "215-750-7442",
"fax_number": "215-757-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 LANGHORNE NEWTOWN RD",
"address_2": "STE 106",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "215-750-7442",
"fax_number": "215-757-5870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKS COUNTY CENTER FOR VEIN MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "CALLAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-750-7442"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0566810000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS",
"identifier": "0849150001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "176453",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "117105",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "322061B",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "728444",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.