PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY – NPI #1730464405
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY is a surgeon located in STROUDSBURG, PA. NPPES has assigned the NPI number 1730464405 to PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY on October 13, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY” is a dba name, the actual legal business name for this organization is POCONO MEDICAL CENTER. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 12 years ago on Aug 29, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY below.

NPI Profile for
POCONO MEDICAL CENTER

NPI Number
1730464405
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POCONO MEDICAL CENTER
Doing Business As (dba): PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY
Primary location
600 COMMERCE BLVD
STROUDSBURG, PA 18360-6214
Phone: (570) 426-2960 Fax: (570) 426-2965
Mailing address
206 E BROWN ST
POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER
EAST STROUDSBURG, PA 18301-3006
Phone: (570) 420-4951 Fax: (570) 476-3754
Organization Subpart
Yes - PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY is subpart of another organization.
Authorized Official
JANE RAGONE
MANAGER
Phone: (570) 420-4970
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.