Organization Active NPI

Pco PC

Doing business as PCO Radiology PC

  • Diagnostic Radiology Physician
  • Lowville, NY
National Provider Identifier
1881230563
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PCO PC
Doing business as
PCO Radiology PC
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(800) 858-5876
NPI assigned
Nov 18, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Alix Vincent, MDNPI 1003802265
Title
Ao
Phone
(949) 480-9698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

4040 E Camelback Rd Ste 250
Phoenix, AZ 85018-8350
Phone (800) 858-5876

Other names 1

  • PCO Radiology PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, CA, AZ, MA, SC, VA, NM, MO, TX, FL, GA, MS, TN, WA, NY, DC, CO, VI, PA, NJ, KS, AK, HI, NV, MD, PR, OH, KY, WI, UT, ME32 enrollments

Enrollment records 32

Enrollment IDStateProvider typePAC IDDetails
O20191230001440 IL Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 16 practitioners
Practice locations: Glenview, IL; Chicago, IL; Hinsdale, IL; Lisle, IL; New Lenox, IL; Northbrook, IL; Palatine, IL; Riverside, IL…
O20200103001510 MI Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 9 practitioners
Practice locations: Ann Arbor, MI; West Branch, MI; Petoskey, MI; Mount Pleasant, MI; Kalamazoo, MI; Bloomfield Hills, MI; Bay City, MI
O20200108002940 CA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 16 practitioners
Practice locations: Newport Coast, CA; Santa Monica, CA; Rancho Cucamonga, CA; Rancho Mirage, CA; San Clemente, CA; South Pasadena, CA; Thousand Oaks, CA; Tiburon, CA…
O20200109002238 AZ Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 13 practitioners
Practice locations: Queen Creek, AZ; Scottsdale, AZ; Phoenix, AZ; Paradise Valley, AZ; Cave Creek, AZ; Chandler, AZ
O20200115002346 MA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 3 practitioners
Practice locations: Concord, MA; Roxbury, MA; Somerville, MA
O20200116001008 SC Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 6 practitioners
Practice locations: Simpsonville, SC; North Myrtle Beach, SC; North Augusta, SC; Columbia, SC
O20200116001388 VA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA
O20200121000206 NM Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20200121000584 MO Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Parkville, MO; Saint Louis, MO; Kansas City, MO
O20200121000792 TX Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 7 practitioners
Practice locations: Allen, TX; El Paso, TX; Houston, TX; Lubbock, TX; Southlake, TX; Sugar Land, TX; Webster, TX
O20200121002253 FL Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 12 practitioners
Practice locations: Santa Rosa Beach, FL; Port St Lucie, FL; Parkland, FL; Palm Beach Gardens, FL; Naples, FL; Key Largo, FL; Highland Beach, FL; Gulf Breeze, FL…
O20200127002123 GA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20200303002455 MS Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, MS
O20200314000000 TN Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN
O20200407000731 WA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 7 practitioners
Practice locations: Selah, WA; Pasco, WA; Liberty Lake, WA; Lake Forest Park, WA; Kennewick, WA; Ellensburg, WA
O20200610001447 NY Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 9 practitioners
Practice locations: Central Square, NY; Watertown, NY; Sag Harbor, NY; Pulaski, NY; Oswego, NY; New York, NY; Lowville, NY; Fulton, NY…
O20200729002747 DC Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, VA
O20200806001480 CO Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 5 practitioners
Practice locations: Monument, CO; Lafayette, CO; Grand Junction, CO; Durango, CO
O20201022000262 VI Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Frederiksted, VI; St Croix, VI
O20201230000806 PA Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Bear Creek Township, PA; Gibsonia, PA; Penn Valley, PA
O20210310000634 NJ Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Essex Fells, NJ; Summit, NJ
O20220201000822 KS Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrence, KS; Leawood, KS
O20220527000966 AK Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Fairbanks, AK
O20220829000616 HI Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Waipahu, HI
O20220902000222 NV Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV; Reno, NV
O20220922003297 MD Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 3 practitioners
Practice locations: Clarksville, MD; Laurel, MD; Bel Air, MD
O20230314002033 PR Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR
O20231018003837 OH Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 2 practitioners
Practice locations: Lima, OH; Perrysburg, OH; Wapakoneta, OH; Cleveland, OH
O20231221002406 KY Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Bowling Green, KY; Elizabethtown, KY
O20241122000362 WI Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Janesville, WI
O20250923004421 UT Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Park City, UT
O20251229002330 ME Part B Supplier - Clinic/Group Practice 5395179329 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME

National Provider Directory

National Provider Directory

Locations

6302 Manatee Ave W
Bradenton, FL 34209
Phone (941) 792-2965

3175 Professional Ct
Ste 4
Bay City, MI 48706
Phone (989) 393-2895

4175 N Euclid Ave
Ste 8
Bay City, MI 48706
Phone (989) 316-4310

2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884

730 Main St
North Myrtle Beach, SC 29582
Phone (843) 281-9540

12920 University Blvd
Ste 600
Sugar Land, TX 77479
Phone 7132345837703

Practitioners & affiliated clinicians

Practitioners 195

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.

View all 195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1881230563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188350",
            "telephone_number": "800-858-5876",
            "fax_number": "951-680-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "800-858-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ALIX",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "949-480-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCO Radiology PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PCO Radiology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.