Third Coast Vascular Sc
NPI 1356085104 · Vascular & Interventional Radiology Physician · Sheboygan, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Third Coast Vascular Sc is a Vascular & Interventional Radiology Physician organization in Sheboygan, WI (NPI 1356085104).
Provider details
- NPI number
- 1356085104
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taha Siders, Coo(920) 797-9378
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Third Coast Vascular Sc's NPI number?
- Third Coast Vascular Sc's National Provider Identifier (NPI) is 1356085104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Third Coast Vascular Sc?
- Third Coast Vascular Sc is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Third Coast Vascular Sc located?
- Third Coast Vascular Sc's practice location on file with NPPES is 1441 N Taylor Dr, Sheboygan, WI 53081-1989.
- What is Third Coast Vascular Sc's phone number?
- The practice phone number listed in the NPPES registry for Third Coast Vascular Sc is (262) 577-0250.
- Does Third Coast Vascular Sc accept Medicare?
- Third Coast Vascular Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Third Coast Vascular Sc?
- The authorized official listed on Third Coast Vascular Sc's NPPES record is Taha Siders, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Third Coast Vascular Sc's NPI active?
- Yes — Third Coast Vascular Sc's NPI (1356085104) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.