Active NPI
Vascular & Thoracic Assoc LTD.
- Vascular Surgery Physician
- Moline, IL
National Provider Identifier
1841301272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 042616991
- Legal business name
- VASCULAR & THORACIC ASSOC LTD.
- Doing business as
- Vascular & Thoracic Assoc Ltd.
- Practice address
- 870 36TH Ave
Moline, IL 61265-7159 - Phone
- (309) 764-9162
- Fax
- (309) 764-9471
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 26, 2008
- 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
- Mrs. Rosie Adams
- Title
- Insurance Coordinator
- Phone
- (309) 764-9162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 042616991 | IL | Primary |
Addresses
Primary practice location
870 36TH Ave
Moline, IL 61265-7159
Mailing address
870 36TH Ave
Moline, IL 61265-7159
Phone (309) 764-9162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG0447 | Other | IL | RAIL ROAD MEDICARE |
Other names 1
- Vascular & Thoracic Assoc Ltd.
National Provider Directory
National Provider DirectoryLocations
870 36th Ave
Moline, IL 61265
Phone (309) 623-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1841301272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 36TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657159",
"telephone_number": "309-764-9162",
"fax_number": "309-764-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 36TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657159",
"telephone_number": "309-764-9162",
"fax_number": "309-764-9471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR & THORACIC ASSOC LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "ROSIE",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "309-764-9162",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "042616991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CG0447",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vascular & Thoracic Assoc Ltd.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.