VASCULAR SURGICAL ASSOCIATES, PC (NPI# 1114083532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083532 |
| Entity Type | Organization |
| Organization Name | VASCULAR SURGICAL ASSOCIATES, PC |
| Practice Address |
61 Whitcher St Ne Ste 2100 Marietta GA 30060-1179 |
| Mailing Address |
100 Stoneforest Dr Ste 130 Woodstock GA 30189-4881 |
| Practice Telephone | 7704230595 |
| Practice Fax Number | 7704230598 |
| Mailing Telephone | 7704230595 |
| Mailing Fax Number | 7704230598 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | RACHEL REYES (CPC) |
| Authorized Official Telephone | 6783881621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6002 Professional Pkwy Ste 240, Douglasville, GA 301345627 | 7708740572 | |
| 130 Riverstone Ter Ste 100, Canton, GA 301141702 | 7704794800 | |
| 148 Bill Carruth Pkwy Ste 380, Hiram, GA 301413763 | 7708740703 | |
| 3747 Roswell Rd Ste 316, Marietta, GA 300626227 | 6786265420 | |
| 699 Church St Ne Ste 310, Marietta, GA 300601122 | 7704230595 | |
| 4441 Atlanta Rd Se Ste 316, Smyrna, GA 300806443 | 7704230595 | |
| 962 Joe Frank Harris Pkwy Se Ste 202, Cartersville, GA 301202154 | 7704230595 | |
| 100 Stoneforest Dr Ste 130, Woodstock, GA 301894881 | 7704230595 | 7704230598 |
| 1700 Hospital South Dr Ste 502, Austell, GA 301068159 | 7709448315 | |
| 1505 Stone Bridge Pkwy Ste 100, Woodstock, GA 301898282 | 6783881621 | 6783881610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921183 | Vascular Surgical Associates, PC | Prosthetic/Orthotic Supplier | 1700 Hospital South Dr Ste 502, Austell, GA 30106-8159 | 2018-05-07 |
| Street Address |
61 WHITCHER ST NE STE 2100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477594547 | Jeffrey Neil Winter | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2006-06-09 |
| 1083107718 | Po El Park | Physician Assistant | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2018-06-07 |
| 1841793817 | Roxanne Camille Edwards | Physician Assistant | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060 | 2018-03-15 |
| 1720588049 | Anne Gaston | Physician Assistant | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2018-02-13 |
| 1023518446 | Leslie Rose Romeyn | Physician Assistant | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2018-02-13 |
| 1255708426 | Katelyn Suchajda | Physician Assistant | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060 | 2015-08-24 |
| 1619355906 | Anand Parikh | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2015-05-07 |
| 1750678637 | Emily Lagergren | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1477594547 | Jeffrey Neil Winter | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2006-06-09 |
| 1891788600 | Steven W. Oweida | Surgery | 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060 | 2005-08-26 |
| 1619355906 | Anand Parikh | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060-1179 | 2015-05-07 |
| 1245638998 | Atlanta Laser Vein Institute, LLC | Surgery | 1050 E Piedmont Rd, Suite 104, Marietta, GA 30062-4758 | 2014-12-11 |
| 1750678637 | Emily Lagergren | Surgery | 61 Whitcher St Ne Ste 2100, Marietta, GA 30060 | 2011-06-29 |
| 1033382122 | Michael Richard Corey | Surgery | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2008-04-09 |
| 1801979992 | Steven Paul Rivers | Surgery | 400 Matthew St, Suite 208, Marietta, OH 45750-1644 | 2006-10-23 |
| 1205875739 | John E Jones | Surgery | 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060-1179 | 2006-06-06 |
| 1932176377 | Charles W Wyble Jr. | Surgery | 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060-1179 | 2006-03-03 |
| 1144219239 | John Tucker | Surgery | 790 Church St Ne, Suite 570, Marietta, GA 30060-7282 | 2005-10-20 |
| Find all providers in MARIETTA | ||||
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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.