NPIMap

Organization Active NPI

Pocono Medical Center

  • Vascular Surgery Physician
  • Stroudsburg, PA
National Provider Identifier
1730464405
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
POCONO MEDICAL CENTER
Practice address
600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone
(570) 426-2960
Fax
(570) 426-2965
NPI assigned
Oct 13, 2011
Organization subpart
Yes
Parent organization
POCONO MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Jane Ragone
Title
Manager
Phone
(570) 420-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

600 Commerce Blvd
Stroudsburg, PA 18360-6214

Mailing address

206 E Brown St
Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18301-3006
Phone (570) 420-4951

Other names 1

  • PMC Physician Associates Vascular Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pocono General Surgery28 organizations share this tax ID, including this one
Part of
Pocono General Surgery

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1730464405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMERCE BLVD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606214",
            "telephone_number": "570-426-2960",
            "fax_number": "570-426-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MEDICAL  CENTER",
        "enumeration_date": "2011-10-13",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "RAGONE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-420-4970"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMC Physician Associates Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.