NPIMap

Organization Active NPI

Pennsylvania Phlebology Group PC

  • Surgery Physician
  • Exton, PA
National Provider Identifier
1831353879
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PENNSYLVANIA PHLEBOLOGY GROUP PC
Practice address
707 Eagleview Blvd Ste 303
Exton, PA 19341-1159
Phone
(610) 321-2615
Fax
(610) 321-2616
NPI assigned
Jul 17, 2008
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Cynthia Jones
Title
Credentialing
Phone
(630) 725-2737

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X PA
Surgery Physician 208600000X PA Primary
Vascular Surgery Physician 2086S0129X PA
Phlebology Physician 202K00000X PA

Addresses

Primary practice location

707 Eagleview Blvd Ste 303
Exton, PA 19341-1159

Mailing address

2015 Spring Rd Ste 300
Oak Brook, IL 60523-3944
Phone (630) 725-2700

National Provider Directory

National Provider Directory

Locations

2001 Butterfield Rd
Ste 330
Downers Grove, IL 60515

1900 Market St
Ste 115
Philadelphia, PA 19103
Phone (215) 666-7340

400 Penn Center Blvd
Ste 602
Pittsburgh, PA 15235
Phone (412) 823-1242

676 E Swedesford Rd
Ste 170
Wayne, PA 19087
Phone (484) 585-4515

Practitioners & affiliated clinicians

Practitioners 6

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1831353879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 EAGLEVIEW BLVD STE 303",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411159",
            "telephone_number": "610-321-2615",
            "fax_number": "610-321-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PHLEBOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-725-2737"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.