Organization Active NPI

The Heart and Vascular Clinic, PC

  • Vascular Surgery Physician
  • Bedford, IN
National Provider Identifier
1760527832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
THE HEART AND VASCULAR CLINIC, PC
Practice address
2512 Q St
Bedford, IN 47421-4928
Phone
(812) 330-0909
Fax
(812) 330-0099
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ovais Raza, MD
Title
Provider
Phone
(812) 330-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

2512 Q St
Bedford, IN 47421-4928

Mailing address

2512 Q St
Bedford, IN 47421-4928
Phone (812) 330-0909

National Provider Directory

National Provider Directory
Tax ID family
The Heart and Vascular Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760527832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214928",
            "telephone_number": "812-330-0909",
            "fax_number": "812-330-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214928",
            "telephone_number": "812-330-0909",
            "fax_number": "812-330-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART AND VASCULAR CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "OVAIS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "812-330-0909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.