Active NPI
University Cardiothoracic and Vascular Associates, Inc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- State College, PA
National Provider Identifier
1417288606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- UNIVERSITY CARDIOTHORACIC AND VASCULAR ASSOCIATES, INC
- Practice address
- 100 Radnor Rd
Suite 201
State College, PA 16801-7986 - Phone
- (814) 238-2616
- Fax
- (814) 238-0541
- NPI assigned
- Jan 27, 2010
- 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
- Dr. Philip Lynn Rice, MD
- Title
- President
- Phone
- (814) 466-3434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
100 Radnor Rd
Suite 201
State College, PA 16801-7986
Mailing address
100 Radnor Rd
Suite 201
State College, PA 16801-7986
Phone (814) 238-2616
National Provider Directory
National Provider DirectoryLocations
100 Radnor Rd
Ste 201
State College, PA 16801
Phone (814) 238-2616
100 Radnor Rd
Uppr
State College, PA 16801
Phone (814) 931-5966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1417288606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RADNOR RD",
"address_2": "SUITE 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017986",
"telephone_number": "814-238-2616",
"fax_number": "814-238-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RADNOR RD",
"address_2": "SUITE 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017986",
"telephone_number": "814-238-2616",
"fax_number": "814-238-0541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY CARDIOTHORACIC AND VASCULAR ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-466-3434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.