Surya K. Vangore M.D. P.C

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MD038910L Issued in PA

Legal business name

SURYA K. VANGORE M.D. P.C

Practice address

431 W Roosevelt Blvd
Philadelphia, PA 19120-4148

Phone

(215) 455-3444

Fax

(215) 455-3445

NPI assigned

Dec 19, 2007

Organization subpart

Yes

Parent organization

SURYA K. VANGORE M.D.As reported in NPPES

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

Authorized official

Name

Dr. Surya Kumari VangoreNPI 1043279524

Title

Primary Care Physcian

Phone

(215) 455-3444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Surya K Vangore MD PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Surya K Vangore, M.D. PC.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1043279524
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1750565263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204148",
            "telephone_number": "215-455-3444",
            "fax_number": "215-455-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204148",
            "telephone_number": "215-455-3444",
            "fax_number": "215-455-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA K. VANGORE M.D. P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURYA K. VANGORE M.D.",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "VANGORE",
        "authorized_official_first_name": "SURYA",
        "authorized_official_middle_name": "KUMARI",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSCIAN",
        "authorized_official_telephone_number": "215-455-3444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "MD038910L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Surian, RPH
• David Evan Surrey, M.D.
• Lea Filippone Surrey, MD
• Surrounded by Love Home Care LLC
• Survival Home Care and Multi Services, LLC
• Manish Hari Suryapalam
• Susan B. Ragonesi M.D. P.C.
• Sandra Patricia Susanibar Adaniya, MD
• Sushilchandra G. Desai DDS, PC
• Murray Suskin, M.D.

• Health Maintenance Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.