VASCULAR SURGERY ASSOC, P.C. (NPI# 1033167176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033167176 |
| Entity Type | Organization |
| Organization Name | VASCULAR SURGERY ASSOC, P.C. |
| Other Organization Name | MICHIGAN VASCULAR ACCESS CENTER |
| Practice Address |
5202 Miller Rd Flint MI 48507-1040 |
| Mailing Address |
5020 W Bristol Rd Flint MI 48507-2919 |
| Practice Telephone | 8106000560 |
| Practice Fax Number | 8106000561 |
| Mailing Telephone | 8107321620 |
| Mailing Fax Number | 8107328559 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | MR. GARY C PAAVOLA (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 8107321620 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | VASCULAR SURGERY ASSOC, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michigan Vascular Access Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972551000 | Vascular Surgery Assoc, P.C. | Surgery | 5151 Gateway Ctr, Suite 400, Flint, MI 48507-3929 | 2006-05-04 |
| 1134366024 | Vascular Surgery Assoc, P.C. | Surgery | 5701 Bow Pointe Dr, Suite 2010, Clarkston, MI 48346-3198 | 2009-01-14 |
| Street Address |
5202 MILLER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182452 | Arnielito C. Tuazon | Anesthesiology | 5202 Miller Rd, Flint, MI 48507-1040 | 2005-05-27 |
| 1659801058 | Monica Culver | Nurse Practitioner | 5202 Miller Rd, Flint, MI 48507-1040 | 2017-06-18 |
| 1396832549 | Genesee Care L.L.C. | Clinic/Center | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-10-09 |
| 1346358264 | Jon A. Santiago | Specialist | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-08-29 |
| 1427163039 | Thomas W Ellis | Nurse Practitioner | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-08-21 |
| 1699880203 | Luanne M Dyke | Nurse Anesthetist, Certified Registered | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-08-21 |
| 1487676052 | James C. Culver, M.d., P.C. | Anesthesiology | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-07-24 |
| 1538114228 | Ambulatory Anesthesia Care, Pllc | Specialist | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-05-23 |
| 1255305124 | James Clifford Culver | Specialist | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-02-15 |
| 1700850690 | John Clement Kohn | Specialist | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| 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 |
|---|---|---|---|---|
| 1972551000 | Vascular Surgery Assoc, P.C. | Surgery | 5151 Gateway Ctr, Suite 400, Flint, MI 48507-3929 | 2006-05-04 |
| 1598736365 | Wayne K Kinning | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2006-01-30 |
| 1710374137 | Flint Vascular Surgery P.l.l.c. | Surgery | 1325 S Linden Rd, Flint, MI 48532-3408 | 2015-04-23 |
| 1598103236 | Alison Jennifer Kinning | Surgery | 5020 W Bristol Rd, Flint, MI 48507 | 2013-06-04 |
| 1619233293 | Jennifer Marie Baker | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2012-04-08 |
| 1407144652 | Ranjith Dodla | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2011-07-20 |
| 1407007982 | Nitin Gulshan Malhotra | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2008-10-02 |
| 1396994851 | Bara Zuhaili | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2008-09-09 |
| 1003064825 | Cherie Renee Phillips | Surgery | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2008-09-04 |
| 1417113713 | Mohmmed Nogud Margni | Surgery | 1 Hurley Plz, Flint, MI 48503-5902 | 2008-08-06 |
| Find all providers in FLINT | ||||
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| 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.