Active NPI
Pocono Heart & Vascular P.C.
- Cardiovascular Disease Physician
- Brodheadsville, PA
National Provider Identifier
1801964432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD029230E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011181030013 | Medicaid | PA | |
| 1891793683 | Other | PA | NPI FOR DR AS INDIVIDUAL |
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.
-
- Adult Health Nurse Practitioner
- East Stroudsburg, PA
- NPI 1245291434
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
- Pennsylvania Autism Action Center LLC
- David H Pierce, DDS
- Pleasant Valley Pharmacy Inc
- Pleasant Valley School District
- Pocono Community Pharmacy Inc
- Pocono MRI Imaging and Diagnostic Center, LLC
- Cathleen Anne Powell, MSW LCSW
- Professional Eye Associates
- Barbara Purcell-Clark
- Richard C Quigley, PHARMD
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.