Active NPI
Vascular Diagnostic Center of Oak Ridge Inc
- Vascular Sonography Radiologic Technologist
- Oak Ridge, TN
National Provider Identifier
1891717419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- Legal business name
- VASCULAR DIAGNOSTIC CENTER OF OAK RIDGE INC
- Practice address
- 988 Oak Ridge Tpke
Physicians Plaza Ste 120
Oak Ridge, TN 37830-6930 - Phone
- (865) 482-4028
- Fax
- (865) 481-3257
- NPI assigned
- Jul 24, 2006
- 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. Deanna H Lowe
- Title
- Office Manager
- Phone
- (865) 482-4028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke
Physicians Plaza Ste 120
Oak Ridge, TN 37830-6930
Mailing address
988 Oak Ridge Tpke
Physicians Plaza Ste 120
Oak Ridge, TN 37830-6930
Phone (865) 482-4028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3790124 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051102001021 | TN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9436196318 | Practice locations: Oak Ridge, TN |
National Provider Directory
National Provider DirectoryLocations
988 Oak Ridge Tpke
Ste 120
Oak Ridge, TN 37830
Phone (865) 482-4028
988 Oak Ridge Tpke
Ste L40
Oak Ridge, TN 37830
Phone (865) 482-4028
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Oak Ridge, TN
- NPI 1326024308
-
- Vascular Surgery Physician
- Oak Ridge, TN
- NPI 1265418032
-
- Physician Assistant
- Oak Ridge, TN
- NPI 1942286935
-
- Surgery Physician
- Oak Ridge, TN
- NPI 1881670669
-
- Surgery Physician
- Oak Ridge, TN
- NPI 1356332126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891717419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "PHYSICIANS PLAZA STE 120",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-482-4028",
"fax_number": "865-481-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "PHYSICIANS PLAZA STE 120",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-482-4028",
"fax_number": "865-481-3257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR DIAGNOSTIC CENTER OF OAK RIDGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "865-482-4028",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3790124",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.