NPIMap

Organization Active NPI

Susquehanna Valley Vein Center, LLC

  • Phlebology Physician
  • Williamsport, PA
National Provider Identifier
1437583879
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
MD043543E Issued in PA
Legal business name
SUSQUEHANNA VALLEY VEIN CENTER, LLC
Practice address
1140 Sheridan St
Williamsport, PA 17701-3618
Phone
(570) 326-1100
Fax
(570) 326-4500
NPI assigned
Aug 21, 2013
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Suzan A McGary, M.D.NPI 1356322374
Title
Ceo
Phone
(570) 326-1100

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
Phlebology Physician 202K00000X MD043543E PA Primary

Addresses

Primary practice location

1140 Sheridan St
Williamsport, PA 17701-3618

Mailing address

1140 Sheridan St
Williamsport, PA 17701-3618
Phone (570) 326-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1437583879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SHERIDAN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013618",
            "telephone_number": "570-326-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SHERIDAN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013618",
            "telephone_number": "570-326-1100",
            "fax_number": "570-326-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "MCGARY",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-326-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "PA",
            "license": "MD043543E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.