Organization Active NPI

Fresenius Vascular Care North Andover LLC

  • Vascular & Interventional Radiology Physician
  • North Andover, MA
National Provider Identifier
1962856336
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
FRESENIUS VASCULAR CARE NORTH ANDOVER LLC
Practice address
203 Turnpike St
Suite 125
North Andover, MA 01845-5042
Phone
(978) 689-2234
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Jeffrey E Snodgrass
Title
General Manager
Phone
(610) 644-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

203 Turnpike St
Suite 125
North Andover, MA 01845-5042

Mailing address

40 Valley Stream Pkwy Ste 100
Attn: Credentialing Dept.
Malvern, PA 19355-1407
Phone (610) 644-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1962856336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY STE 100",
            "address_2": "ATTN: CREDENTIALING DEPT.",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TURNPIKE ST",
            "address_2": "SUITE 125",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455042",
            "telephone_number": "978-689-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE NORTH ANDOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "610-644-8900"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.