Organization Active NPI

Pocono Heart & Vascular P.C.

  • Cardiovascular Disease Physician
  • Brodheadsville, PA
National Provider Identifier
1801964432
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD029230E Issued in PA
Legal business name
POCONO HEART & VASCULAR P.C.
Practice address
Pleasant Valley Drive
HC 2 Box 2029
Brodheadsville, PA 18322-9709
Phone
(570) 402-0700
Fax
(570) 992-6780
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Richard Alan Narvaez, M.D.
Title
President
Phone
(570) 402-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD029230E PA Primary

Addresses

Primary practice location

Pleasant Valley Drive
HC 2 Box 2029
Brodheadsville, PA 18322-9709

Mailing address

HC 2 Box 2029
Brodheadsville, PA 18322-9709
Phone (570) 402-0700

Other identifiers 2

IdentifierTypeStateIssuer
0011181030013MedicaidPA
1891793683OtherPANPI FOR DR AS INDIVIDUAL

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1801964432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 2029",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229709",
            "telephone_number": "570-402-0700",
            "fax_number": "570-992-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLEASANT VALLEY DRIVE",
            "address_2": "HC 2 BOX 2029",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229709",
            "telephone_number": "570-402-0700",
            "fax_number": "570-992-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO HEART & VASCULAR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-402-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD029230E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011181030013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR AS INDIVIDUAL",
            "identifier": "1891793683",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.