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THIRD COAST VASCULAR SC
NPI 1356085104
Radiology - Vascular & Interventional Radiology in Sheboygan, WI

Active since April 26, 2022CLIA 52D2261670 · Waiver
1441 N TAYLOR DR, SHEBOYGAN, WI 53081(262) 577-0250(262) 577-0251 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2025, Nov 25, 2025, Apr 26, 2022 (3 updates tracked since 2022).

About Third Coast Vascular Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIRD COAST VASCULAR SC (NPI 1356085104) is a healthcare organization registered as a vascular & interventional radiology in Sheboygan, Wisconsin and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Taha Siders, Coo, as its authorized official.

NPPES Registry Identity

NPI1356085104
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameTHIRD COAST VASCULAR SC
Location Address1441 N TAYLOR DRSheboygan, WI 53081-1989
Mailing Address1441 N Taylor DrSheboygan, WI 53081-1989 · (920) 298-2821 · Fax (920) 287-7500
Phone(262) 577-0250
Fax(262) 577-0251
Organization SubpartNo
Authorized OfficialTaha SidersCoo · (920) 797-9378
Enumeration DateApril 26, 2022
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1356085104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedNurse PractitionerTaxonomy 363L00000X
1441 N TAYLOR DR, Sheboygan, WI 53081
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2261670

Third Coast Vascular ASC LLC · Sheboygan, WI
Active · expires Jun 2, 2028
CLIA Number52D2261670
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorDr. Awais H. Siddique
Laboratory Phone(262) 577-0260
Laboratory LocationThird Coast Vascular ASC LLC1441 N Taylor Dr, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THIRD COAST VASCULAR ASC LLC
Clinic/Center (Ambulatory Surgical)
1441 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (262) 577-0250
MORGAN SEMROW FNP
Nurse Practitioner
1441 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 298-2821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Third Coast Vascular Sc's NPI number?

The NPI number for Third Coast Vascular Sc is 1356085104. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Third Coast Vascular Sc located?

Third Coast Vascular Sc is located at 1441 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (262) 577-0250.

What is Third Coast Vascular Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Third Coast Vascular Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2261670) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Third Coast Vascular Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Third Coast Vascular Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Third Coast Vascular Sc was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.