Nepa Vascular Interventions LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

NEPA VASCULAR INTERVENTIONS LLC

Practice address

1327 Highway 315 Blvd Ste 1
Wilkes Barre, PA 18702-7046

Phone

(570) 616-8589

Fax

(570) 855-7004

NPI assigned

Mar 27, 2023

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Guerriero III, DONPI 1952525958

Title

Authorized Official

Phone

(570) 616-8589

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Anthony Guerriero III, D.O.

  • Vascular Surgery Physician
  • Berwick, PA
  • NPI 1952525958
  Authorized official Same address or phone

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1760186688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046",
            "telephone_number": "570-616-8589",
            "fax_number": "570-855-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046",
            "telephone_number": "570-616-8589",
            "fax_number": "570-855-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPA VASCULAR INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "GUERRIERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-616-8589",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn S Ndzana, MD
• Jessica Neare, DNP, FNP-C
• Carli Jo Neiderer, PT
• Randin Charles Nelson, M.D.
• Nepa Dental Group - Wilkes Barre
• Nepa Vascular Interventions, LLC
• Jennifer Ann Nesfeder, D.O.
• James Nesler Jr.
• James Alan Nesper, M.D.
• Ryan J. Ness, M.D.

• Vascular Surgery Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.