ENDOVASCULAR CONSULTANTS, LLC NPI 1467995514

Radiology (Vascular & Interventional Radiology) in Wilmington, DE

About ENDOVASCULAR CONSULTANTS, LLC

Endovascular Consultants, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1467995514. The practitioner's primary taxonomy code is Radiology (2085R0204X). The provider is registered as an organization and their NPI record was last updated 2 years ago. Endovascular Consultants, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1467995514

Provider NameENDOVASCULAR CONSULTANTS, LLC
Provider Location Address202 S ASHVIEW LN WILMINGTON, DE 19807
Provider Mailing Address202 S ASHVIEW LN WILMINGTON, DE 19807
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-22-2016
Last Update Date11-22-2016

Primary Taxonomy

Taxonomy Code2085R0204X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationVascular & Interventional Radiology
License No.C1-0004350
License StateDE
Taxonomy DescriptionA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

ENDOVASCULAR CONSULTANTS, LLC
202 S ASHVIEW LN
WILMINGTON, DE
ZIP 19807
Phone: (302) 275-1867

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Mailing Address

ENDOVASCULAR CONSULTANTS, LLC
202 S ASHVIEW LN
WILMINGTON, DE
ZIP 19807
Phone: (302) 275-1867

Authorized Official

Authorized Official Name MARK GARCIA MD
Authorized Official TitleOWNER
Authorized Official Phone(302) 275-1867

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1942260088MEDICAID (05)DE
C1-0004350OTHER (01)DE

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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