Provider Demographics
NPI:1255501300
Name:THORACIC & VASCULAR ASSOCIATES
Entity Type:Organization
Organization Name:THORACIC & VASCULAR ASSOCIATES
Other - Org Name:SEACOAST VEIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGEON/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-842-6060
Mailing Address - Street 1:267 ROUTE 108
Mailing Address - Street 2:UNIT A
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878
Mailing Address - Country:US
Mailing Address - Phone:603-842-6060
Mailing Address - Fax:
Practice Address - Street 1:200 GRIFFIN ROAD
Practice Address - Street 2:UNIT 6
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-842-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH69052086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME140860000Medicaid
NH80000986Medicaid
B4348OtherRAILROAD MEDICARE
NH80000986Medicaid
NH80000986Medicaid