VASCULAR ASSOCIATES OF SARASOTA (NPI# 1073578563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073578563 |
| Entity Type | Organization |
| Organization Name | VASCULAR ASSOCIATES OF SARASOTA |
| Practice Address |
600 N Cattlemen Rd Suite 220 Sarasota FL 34232-6410 |
| Practice Telephone | 9413716565 |
| Practice Fax Number | 9413777731 |
| Mailing Telephone | 9413716565 |
| Mailing Fax Number | 9413777731 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-05-24 |
| Authorized Official Name | DR. RUSSELL H. SAMSON (PHYSICIAN) |
| Authorized Official Telephone | 9413716565 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261402200 | 05 | |
| FL | BCBS | 72111 | 01 |
| FL | RR MCR | CH6691 | 01 |
| Street Address |
600 N CATTLEMEN RD SUITE 220 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685172 | Michael R. Lepore | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232 | 2005-08-09 |
| 1407305543 | U.S. Healthworks Meddical Group of Florida, Inc. | Preventive Medicine | 600 N Cattlemen Rd, Suite 120, Sarasota, FL 34232-6422 | 2016-09-30 |
| 1194153015 | Tracy Lynn Gasson | Nurse Practitioner | 600 N Cattlemen Rd, Ste #200, Sarasota, FL 34232-6422 | 2013-10-31 |
| 1770853046 | Michael Alexander Smith | Physician Assistant | 600 N Cattlemen Rd, Sarasota, FL 34232-6422 | 2012-01-04 |
| 1104149236 | Partner's Imaging Center of East Sarasota | Clinic/Center | 600 N Cattlemen Rd, Suite 100, Sarasota, FL 34232-6422 | 2010-03-03 |
| 1336478668 | Karen Leslie Gruber | Nurse Practitioner | 600 N Cattlemen Rd, Suite 100, Sarasota, FL 34232-6422 | 2009-12-16 |
| 1396070439 | Lori A Lucas | Nurse Practitioner | 600 N Cattlemen Rd, Suite 200, Sarasota, FL 34232-6422 | 2009-10-07 |
| 1053554717 | Judy S Wang | Internal Medicine | 600 N Cattlemen Rd, Ste 200, Sarasota, FL 34232-6422 | 2009-04-10 |
| 1285813105 | Johnson Anesthesia | Nurse Anesthetist, Certified Registered | 600 N Cattlemen Rd, Suite 100, Sarasota, FL 34232-6422 | 2007-10-27 |
| 1841491495 | Deepak Nair | Surgery | 600 N Cattlemen Rd, #220, Sarasota, FL 34232 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| Find all providers in zip 34232 | ||||
| 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 |
|---|---|---|---|---|
| 1013232289 | Ryan Stark Suplee | Surgery | 3333 Cattlemen Rd Ste 206, Sarasota, FL 34232 | 2010-03-31 |
| 1780685172 | Michael R. Lepore | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232 | 2005-08-09 |
| 1790780229 | Douglas A Dorsay | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2005-06-21 |
| 1902168925 | Jason Kane Wagner | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2012-06-14 |
| 1851539407 | Inkyong Kim Parrack | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232 | 2009-02-04 |
| 1497959225 | Richard Christian Hershberger | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2007-06-14 |
| 1841491495 | Deepak Nair | Surgery | 600 N Cattlemen Rd, #220, Sarasota, FL 34232 | 2007-05-30 |
| 1104884584 | Issam D Soussou | Surgery | 3333 Cattlemen Rd, Suite 206, Sarasota, FL 34232-6056 | 2006-05-03 |
| 1205837416 | Russell Howard Samson | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232-6410 | 2005-08-10 |
| 1215938618 | David Paul Showalter | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232-6410 | 2005-08-09 |
| Find all providers in SARASOTA | ||||
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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.