RICHARD SABULSKY PA-C NPI 1174607055

NPI Information

NPI: 1174607055
Provider Name: RICHARD SABULSKY, PA-C
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
2100 ERWIN RD
DURHAM, NC
ZIP 27710
Phone: (919) 620-4467
Get Directions

Richard Sabulsky, PA-C is a vascular surgery surgery in Durham, NC with 24 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Richard Sabulsky, PA-C NPI is 1174607055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 ERWIN RD
DURHAM, NC
ZIP 27710-001
Phone: (919) 620-4467

The NPI 1174607055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	103196	NORTH CAROLINA	Yes
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		103196	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2753099	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	P32373	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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