Organization Active NPI

Vascular & Thoracic Assoc LTD.

  • Vascular Surgery Physician
  • Moline, IL
National Provider Identifier
1841301272
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
042616991 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CG0447OtherILRAIL ROAD MEDICARE

Other names 1

  • Vascular & Thoracic Assoc Ltd. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.