Organization Active NPI

Vascular Access Center of Warner Robins LLC

  • Vascular & Interventional Radiology Physician
  • Warner Robins, GA
National Provider Identifier
1447415393
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
061301 Issued in GA
Legal business name
VASCULAR ACCESS CENTER OF WARNER ROBINS LLC
Practice address
516 S Houston Lake Rd
Suite 100
Warner Robins, GA 31088-6308
Phone
(478) 225-4480
Fax
(478) 225-4481
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. James Frederick McGuckin Jr., MD
Title
Ceo
Phone
(215) 382-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 061301 GA Primary

Addresses

Primary practice location

516 S Houston Lake Rd
Suite 100
Warner Robins, GA 31088-6308

Mailing address

PO Box 38574
Philadelphia, PA 19104-8574
Phone (215) 382-3680

National Provider Directory

National Provider Directory

Locations

516 S Houston Lake Rd
Ste 100
Warner Robins, GA 31088
Phone (478) 225-4480

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1447415393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38574",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191048574",
            "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": "516 S HOUSTON LAKE RD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886308",
            "telephone_number": "478-225-4480",
            "fax_number": "478-225-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTER OF WARNER ROBINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "061301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.