Southern Delaware Vascular Institute, LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

SOUTHERN DELAWARE VASCULAR INSTITUTE, LLC

Practice address

1537 Savannah Rd Ste D
Lewes, DE 19958-1611

Phone

(302) 779-8440

Fax

(302) 779-8383

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

John Hadden

Title

Ceo

Phone

(302) 200-8957

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Joseph Caldwell

  • Vascular Surgery Physician
  • Lewes, DE
  • NPI 1881986909
  Medicare reassignment Care Compare group NPD
• Mark Garcia, MD

  • Vascular & Interventional Radiology Physician
  • Wilmington, DE
  • NPI 1942260088
  Medicare reassignment Care Compare group NPD
• Carlos Alberto Neves, M.D.

  • Vascular Surgery Physician
  • Lewes, DE
  • NPI 1558521567
  Medicare reassignment Care Compare group NPD
• Sean Patrick Ryan, M.D.

  • Vascular Surgery Physician
  • Lewes, DE
  • NPI 1891991402
  Medicare reassignment Care Compare group NPD
• Ajith G Kumar, M.D.

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1386611267

  Interventional Cardiology

  Medicare reassignment NPD
• Gene Robert Myers, M.D.

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1831224526
  Medicare reassignment NPD
• Ramon A Rosa, M.D.

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1194792903
  Medicare reassignment NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1932822483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PALM HARBOR BLVD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831930",
            "telephone_number": "727-474-0090",
            "fax_number": "727-474-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 SAVANNAH RD STE D",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581611",
            "telephone_number": "302-779-8440",
            "fax_number": "302-779-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DELAWARE VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "HADDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-200-8957"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarina Joy Simeon Soriano
• Southern de Oral and Maxillofacial Surgery Associates, PA
• Southern Delaware Imaging Assoc
• Southern Delaware Physical Therapy, Inc.
• Southern Delaware Sportscare and Rehabilitation, LLC
• Danielle Spagnolo, DPT
• Ashley Spangler, APRN
• Harold M Spangler, M.D.
• Justin Ross Spencer
• Robyn Spendley

• Interventional Cardiology Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Interventional Cardiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.