Active NPI
Valley Vascular Imaging
- Specialist
- Kingston, PA
National Provider Identifier
1801864673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VALLEY VASCULAR IMAGING
- Practice address
- 540 Pierce St
Kingston, PA 18704-5751 - Phone
- (570) 718-0101
- NPI assigned
- Mar 9, 2006
- Last updated
- Jun 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Marien, M.D.
- Title
- Owner
- Phone
- (570) 718-0101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA | Primary |
Addresses
Primary practice location
540 Pierce St
Kingston, PA 18704-5751
Mailing address
540 Pierce St
Kingston, PA 18704-5751
Phone (570) 718-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050808000334 | PA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4981633294 | Practice locations: Kingston, PA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Vascular Surgery Physician
- Kingston, PA
- NPI 1306894415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340323200000",
"number": "1801864673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045751",
"telephone_number": "570-718-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045751",
"telephone_number": "570-718-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VASCULAR IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2012-06-22",
"status": "A",
"authorized_official_last_name": "MARIEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-718-0101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
- United Health and Hospital Services, Inc. (Wyoming Valley Family Practice Residency Program)
- Carl J. Urbanski, O.D.
- Urologic Associates of Wilkes Barre Inc
- Valley Counseling Associates, PC
- Valley Open MRI and Diagnostic Ctr
- Valleygate Surgery Center of NE PA LLC
- Candice Van Etten, CRVT
- Heidy Vargas, COTA/L
- Vascular Access Center of Kingston LLC
- Erick Velez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.