NPIMap

Organization Active NPI

Lehigh Valley Vascular Institute LLC

  • Vascular & Interventional Radiology Physician
  • Bethlehem, PA
National Provider Identifier
1861857906
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
LEHIGH VALLEY VASCULAR INSTITUTE LLC
Practice address
3450 High Point Blvd
Bethlehem, PA 18017-7801
Phone
(215) 382-3680
NPI assigned
Dec 16, 2015
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
James McGuckin, MD
Title
Ceo
Phone
(215) 382-3680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

3450 High Point Blvd
Bethlehem, PA 18017-7801

Mailing address

3450 High Point Blvd
Bethlehem, PA 18017-7801
Phone (610) 266-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861857906. Details of each certification follow.

Ambulatory surgical center certification: CCN 39C0001370

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Lehigh Valley Vascular Institute LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 11, 2021
Last certification
Aug 11, 2021
Ownership / control type
Proprietary
Facility address
3450 High Point Boulevard
Bethlehem, PA 18017

National Provider Directory

National Provider Directory

Locations

175 S 21st St
Ste 2
Easton, PA 18042
Phone (484) 896-9990

1204 North St
Jim Thorpe, PA 18229
Phone (570) 325-5020

Practitioners & affiliated clinicians

Practitioners 4

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1861857906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177801",
            "telephone_number": "610-266-7644",
            "fax_number": "610-881-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177801",
            "telephone_number": "215-382-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.