Vascular Diagnostic Center PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VASCULAR DIAGNOSTIC CENTER PC

Doing business as

Chartered Vascular Diagnostic Inc

Practice address

103 Squirrel Run
Clarks Green, PA 18411-8960

Phone

(570) 343-1900

NPI assigned

Jan 28, 2014

Organization subpart

Yes

Parent organization

VASCULAR DIAGNOSTIC CENTER PCAs reported in NPPES

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

Authorized official

Name

Terence Cochran, MD

Title

President

Phone

(570) 343-1900

Specialties & licenses 1

Addresses

Other names 1

• Chartered Vascular Diagnostic Inc Doing business as

Part of

Heart and Vascular Center

Locations

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1558784538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MYLES STANDISH BLVD",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807340",
            "telephone_number": "508-880-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SQUIRREL RUN",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184118960",
            "telephone_number": "570-343-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR DIAGNOSTIC CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR DIAGNOSTIC CENTER PC",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-343-1900",
        "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": [
        {
            "organization_name": "Chartered Vascular Diagnostic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stafford Michael Smith, M.D.
• The Quest Institue & Counseling Center
• Richard H Therkorn, LPC
• Tmeek Counseling
• Ryan Kenneth Tomachick, PHARM. D
• Kelly Worozbyt, PHD, CRNP. PMHNP-BC
• Carter David Zimmerman, CSCS,

• Vascular & Interventional Radiology Physician in Clarks Green, PA
• Providers in Clarks Green, PA by specialty
• Vascular & Interventional Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.