Organization Active NPI

Vascular Diagnostic Center of Oak Ridge Inc

  • Vascular Sonography Radiologic Technologist
  • Oak Ridge, TN
National Provider Identifier
1891717419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Vascular Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3790124MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102001021 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9436196318 Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.