Active NPI
Vascular Access Center of Jacksonville LLC
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
National Provider Identifier
1427367770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- VASCULAR ACCESS CENTER OF JACKSONVILLE LLC
- Practice address
- 6820 Southpoint Pkwy
Jacksonville, FL 32216-6276 - Phone
- (215) 382-3680
- Fax
- (215) 382-3683
- NPI assigned
- Oct 5, 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. James McGuckin, MD
- Title
- Ceo
- Phone
- (215) 382-3680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
6820 Southpoint Pkwy
Jacksonville, FL 32216-6276
Mailing address
2929 Arch St
Suite 620
Philadelphia, PA 19104-2866
Phone (215) 382-3680
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1780443812
-
- Surgical Physician Assistant
- Jacksonville, FL
- NPI 1629845128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286236800000",
"number": "1427367770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 ARCH ST",
"address_2": "SUITE 620",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042866",
"telephone_number": "215-382-3680",
"fax_number": "215-382-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 SOUTHPOINT PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166276",
"telephone_number": "215-382-3680",
"fax_number": "215-382-3683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR ACCESS CENTER OF JACKSONVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A",
"authorized_official_last_name": "MCGUCKIN",
"authorized_official_first_name": "JAMES",
"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": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.