PERIPHERAL VASCULAR ASSOCIATES, P.A. (NPI# 1396791570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396791570 |
| Entity Type | Organization |
| Organization Name | PERIPHERAL VASCULAR ASSOCIATES, P.A. |
| Practice Address |
5047 Sherri Ann Rd San Antonio TX 78233-6213 |
| Practice Telephone | 2102374400 |
| Practice Fax Number | 2108280590 |
| Mailing Telephone | 2102374400 |
| Mailing Fax Number | 2108280590 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MS. PHYLLIS B. DAVENPORT (ADMINISTRATOR) |
| Authorized Official Telephone | 2102374400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
5047 SHERRI ANN RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78233-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| 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 |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1730518499 | Robert P Morales, M.d.,p.a. | Surgery | 5814 Hollyhock Rd, San Antonio, TX 78240-2001 | 2013-11-04 |
| 1891957627 | Jeffrey Joseph Stein | Surgery | 4330 Medical Dr Ste 120, San Antonio, TX 78229-3353 | 2008-07-02 |
| 1154545986 | Varicose Vein Clinic - Northwest, P.a. | Surgery | 4330 Medical Dr Ste 100, San Antonio, TX 78229-3353 | 2007-04-12 |
| 1912974023 | Zachary M Arthurs | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2006-03-07 |
| 1295731164 | Jeffrey M. Martinez | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2005-06-24 |
| 1831195957 | Daniel D Tamez Jr. | Surgery | 610 N Main Avenue, San Antonio, TX 78205-2014 | 2005-06-23 |
| 1861498982 | Ronald L. Blumoff | Surgery | 6800 Park Ten Blvd, Ste 154 E, San Antonio, TX 78213-4211 | 2005-06-23 |
| 1689679151 | Patrick A Hartsell | Surgery | 4330 Medical Dr, Ste 120, San Antonio, TX 78229-3342 | 2005-06-20 |
| 1578085791 | San Antonio Vascular and Endovascular Clinic Pllc | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2017-07-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78233 |
Please comment or provide details below to improve the information on PERIPHERAL VASCULAR ASSOCIATES, P.A..
| 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.