FLOWOOD VASCULAR ACCESS, LLC


Address: 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607
Phone: 6017098800

FLOWOOD VASCULAR ACCESS, LLC (NPI# 1770832461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770832461
Entity Type Organization
Organization Name FLOWOOD VASCULAR ACCESS, LLC
Practice Address 1010 Lakeland Square Ext Ste B
Flowood
MS 39232-7607
Mailing Address 40 Valley Stream Pkwy
Ste 100
Malvern
PA 19355-1407
Practice Telephone 6017098800
Practice Fax Number 6013662887
Mailing Telephone 6106448900
Mailing Fax Number 4849240053
Enumeration Date 2012-09-10
Last Update Date 2016-12-06
Authorized Official Name DR. MARK KLEIN (AO)
Authorized Official Telephone 6019811610
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 1010 LAKELAND SQUARE EXT STE B
City FLOWOOD
State MS
Zip Code 39232-7607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093731895 Vipin S Patel Radiology 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2006-07-14
1457658007 Sohail Abdul Salim Internal Medicine 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2011-02-17
1114239423 Lee Michael Ferguson Internal Medicine 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2010-07-02
1366555328 Edward K. Phillips Specialist 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2006-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164071775 Leanna Nicole Howard Social Worker 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 2019-09-06
1104395565 Patriot Healthcare of Mississippi, LLC Family Medicine 4800 Lakeland Drive, Flowood, MS 39232 2018-11-15
1285101816 Magnolia Anesthesia Consultants LLC Anesthesiology 4209 Lakeland Dr #252, Flowood, MS 39232 2018-11-01
1528543592 Matthew T Armstrong Physical Therapist 104 Burney Drive, Flowood, MS 39232 2018-09-26
1790265627 Mississippi Brain and Spine, Pllc Non-Pharmacy Dispensing Site 1 Layfair Drive, Ste 120, Flowood, MS 39232 2018-08-20
1629574918 Billy Clifton Osbon Jr. Pharmacist 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 2018-04-04
1356851752 Oakdale Family Dentistry Clinic/Center 2139 Hwy 471, Flowood, MS 39232 2017-10-11
1992227177 Charisma T. Cummings Nurse Practitioner 102 Riverview Drive, Suite A, Flowood, MS 39232 2017-07-10
1508398983 Charles Pearson Student in an Organized Health Care Education/Training Program 764 Flowood Dr, Flowood, MS 39232 2017-04-03
1396288197 Mary Claire Ponder Nurse Practitioner 151 E Metro Dr Ste 103, Flowood, MS 39232 2016-11-28
Find all providers in zip 39232

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093731895 Vipin S Patel Radiology 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043825540 Gulf Coast Vascular Care, LLC Radiology 14219 Cook Rd, Biloxi, MS 39532-9719 2020-09-11
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1780021170 Ajinkya Shrinivas Desai Radiology 2500 N State St, Jackson, MS 39216-4500 2013-05-27
1023358132 South Central Regional Medical Center Radiology 1410 Jefferson St, Laurel, MS 39440-4243 2013-02-26
1871838490 Premier Interventional Radiology Clinic Radiology 891 Mississippi Dr, Tupelo, MS 38804-0934 2012-12-07
1194048231 Delta Radiology Pllc Radiology 901 E Sunflower Rd, Cleveland, MS 38732-2833 2010-03-03
1083936231 North Florida Radiological Institute Inc Radiology 1401 River Rd, Greenwood, MS 38930-4030 2010-02-15
1851620249 Vascular Access Center of Bolivar County LLC Radiology 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 2009-12-14
1962682468 Meridian Imaging, Pa Radiology 1102 Constitution Ave, First Floor, Meridian, MS 39301-4001 2007-11-13
1245306547 The Vein Center Radiology 401 Alcorn Dr, Suite 2a, Corinth, MS 38834-9072 2006-11-28
Find all providers with the same taxonomy

Competitor

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City FLOWOOD
Zip Code 39232

Improve Information

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Dataset Information

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.

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