Active NPI
Nicholas A Vaganos, M.D.
- Cardiovascular Disease Physician
- West Chester, PA
National Provider Identifier
1679633614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD023029E
- Practice address
- 915 Old Fern Hill Rd
BLDG a, Ste 5
West Chester, PA 19380-4269 - Phone
- (610) 696-2850
- Fax
- (610) 696-7159
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD023029E | PA | Primary |
Addresses
Primary practice location
915 Old Fern Hill Rd
BLDG a, Ste 5
West Chester, PA 19380-4269
Mailing address
207 N Broad St
3Rd Floor
Philadelphia, PA 19107-1500
Phone (267) 479-4165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001176822 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1679633614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "267-479-4165",
"fax_number": "215-463-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 OLD FERN HILL RD",
"address_2": "BLDG A, STE 5",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804269",
"telephone_number": "610-696-2850",
"fax_number": "610-696-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGANOS",
"first_name": "NICHOLAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD023029E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001176822",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.