Active NPI
Vascular Access Center of Warner Robins LLC
- Vascular & Interventional Radiology Physician
- Warner Robins, GA
National Provider Identifier
1447415393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 061301
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 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 DirectoryLocations
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.