Organization Active NPI

Vascular Surgical Specialists PLLC

  • Vascular Surgery Physician
  • West Chester, PA
National Provider Identifier
1932610755
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR SURGICAL SPECIALISTS PLLC
Practice address
1450 E Boot Rd Ste 700a
West Chester, PA 19380-5962
Phone
(610) 430-8272
Fax
(888) 871-0040
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Sean V. Ryan, MDNPI 1629037288
Title
Authorized Official
Phone
(610) 430-8272

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X PA Primary

Addresses

Primary practice location

1450 E Boot Rd Ste 700a
West Chester, PA 19380-5962

Mailing address

1450 E Boot Rd Ste 600B
West Chester, PA 19380-5968
Phone (610) 430-8272

Other identifiers 1

IdentifierTypeStateIssuer
1034311680001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103002979 PA Part B Supplier - Clinic/Group Practice 8123386703 Receives reassigned benefits from 8 practitioners
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

931 E Haverford Rd
Ste 300
Bryn Mawr, PA 19010

1503 Lansdowne Ave
Ste 3008
Darby, PA 19023
Phone (484) 370-8140

1450 E Boot Rd
West Chester, PA 19380
Phone (610) 692-4900

Practitioners & affiliated clinicians

Practitioners 8

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1932610755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD STE 600B",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805968",
            "telephone_number": "610-430-8272",
            "fax_number": "888-871-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD STE 700A",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805962",
            "telephone_number": "610-430-8272",
            "fax_number": "888-871-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-430-8272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034311680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.