VASCULAR AND ENDOVASCULAR SPECIALISTS, LLC (NPI# 1003321829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003321829 |
| Entity Type | Organization |
| Organization Name | VASCULAR AND ENDOVASCULAR SPECIALISTS, LLC |
| Practice Address |
5211 Essen Ln Ste 5 Baton Rouge LA 70809-3564 |
| Mailing Address |
1343 Saint Albans Dr Baton Rouge LA 70810-3577 |
| Practice Telephone | 2253845617 |
| Practice Fax Number | 2252184357 |
| Mailing Telephone | 2255324058 |
| Mailing Fax Number | 2256598031 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | DR. PAUL EDWARD PERKOWSKI (MANAGING MEMBER) |
| Authorized Official Telephone | 2255324058 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
023188 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669627105 | Vascular and Endovascular Specialists, LLC | Surgery | 5651 Frist Blvd, Suite 713, Hermitage, TN 37076-2054 | 2008-11-25 |
| Street Address |
5211 ESSEN LN STE 5 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301150 | Paul E Perkowski | Specialist | 5211 Essen Ln Ste 5, Baton Rouge, LA 70809-3564 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821330093 | Laurel Hadley Hastings | Surgery | 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808 | 2013-03-26 |
| 1730410408 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave Fl 3, Baton Rouge, LA 70809-3720 | 2010-01-20 |
| 1174624712 | Jon V. Schellack, M.d. (a Professional Medical Corporation) | Surgery | 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144 | 2006-09-26 |
| 1003926981 | John Douglas Frusha | Surgery | 8595 Picandy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1518962653 | James E. Craven Iv | Surgery | 7777 Hennessy Blvd Ste 7000, Baton Rouge, LA 70808 | 2005-06-16 |
| 1932525094 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave, 3rd Floor, Baton Rouge, LA 70809-3720 | 2014-03-13 |
| 1801112503 | Marvin V Weaver Iv | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2010-04-20 |
| 1043453335 | Victor Q Tran | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2009-04-15 |
| 1093974099 | Taylor Scott Gwin | Surgery | 8585 Picardy Ave, Suite 310, Baton Rouge, LA 70809-3679 | 2008-06-04 |
| 1326238171 | Gregory D Crenshaw | Surgery | 8888 Summa Ave, Cardiology Tower, 3rd Fl, Baton Rouge, LA 70809-3720 | 2007-07-27 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on VASCULAR AND ENDOVASCULAR SPECIALISTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.