VASCULAR INTERVENTIONS, LLC (NPI# 1770972598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770972598 |
| Entity Type | Organization |
| Organization Name | VASCULAR INTERVENTIONS, LLC |
| Practice Address |
8865 W 400 N Suite 175 Michigan City IN 46360-9222 |
| Practice Telephone | 2198772225 |
| Practice Fax Number | 2198772230 |
| Mailing Telephone | 2198772225 |
| Mailing Fax Number | 2198772230 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | DR. CHARLES W TATTERSALL (OWNER) |
| Authorized Official Telephone | 2198772225 |
| Authorized Official Credential | MD |
| 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 |
8865 W 400 N SUITE 175 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-9222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378558 | Douglas J Vanputten | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2005-12-23 |
| 1104246412 | James O. Hartson, Md, LLC | Orthopaedic Surgery | 8865 W 400 N, Michigan City, IN 46360-9222 | 2014-04-25 |
| 1609207323 | Brittany C Hausmann | Nurse Practitioner | 8865 W 400 N, Suite 125, Michigan City, IN 46360-9222 | 2013-12-05 |
| 1912290149 | Edna M Gonzalez | Radiology Practitioner Assistant | 8865 W 400 N, #115, Michigan City, IN 46360-9222 | 2011-05-20 |
| 1750672820 | Catherine Weber | Radiology Practitioner Assistant | 8865 W 400 N, #115, Michigan City, IN 46360-9222 | 2011-04-25 |
| 1013177864 | Weninger Medical Corp | Specialist | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-06-16 |
| 1548439219 | Douglas J Van Putten Md Facs Inc | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-02-26 |
| 1639364946 | Woodland Wellness and Rehabilitation | Clinic/Center | 8865 W 400 N, Suite 122, Michigan City, IN 46360-9222 | 2007-09-10 |
| 1295957959 | Woodland Pain Center | Specialist | 8865 W 400 N, Ste. 125, Michigan City, IN 46360-9222 | 2007-05-03 |
| 1609915503 | Chad Alan Glazer | Otolaryngology | 8865 W 400 N, Suite 120, Michigan City, IN 46360-9222 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| 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 |
|---|---|---|---|---|
| 1700999711 | Charles Tattersall M D | Surgery | 8865 W 400 N, Suite 175, Michigan City, IN 46360-9222 | 2006-08-16 |
| 1952346165 | Advanced Vascular Surgery Solutions, Inc | Surgery | 8865 W 400 N, Suite 175, Michigan City, IN 46360-9222 | 2006-06-19 |
| 1356390694 | Virginia Santos Newman | Surgery | 8865 W 400 N, Suite 175, Michigan City, IN 46360 | 2006-05-05 |
| 1629048913 | Charles W Tattersall | Surgery | 8865 W 400 N, Suite 175, Michigan City, IN 46360-9222 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456603 | Wickel Vascular Surgery & Medicine PC | Surgery | 1919 State St Ste 444, New Albany, IN 47150-6809 | 2019-06-14 |
| 1154832178 | Allied Physicians of Michiana, LLC | Surgery | 611 E Douglas Rd Ste 308, Mishawaka, IN 46545-1465 | 2017-10-17 |
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1649468364 | South Bend Vein Center for Excelllence, LLC | Surgery | 2025 Edison Rd, South Bend, IN 46637-5599 | 2007-10-09 |
| 1396938031 | Peripheral Vascular Care | Surgery | 640 S Walker St, Bloomington, IN 47403-2158 | 2007-08-27 |
| 1285841502 | Decatur Vein Clinic Hobart, PC | Surgery | 5043 E Lincoln Hwy, Merrillville, IN 46410-5912 | 2007-05-17 |
| 1093881385 | Decatur Vein Clinic, Michigan, PC | Surgery | 645 W Carmel Dr, Suite 101, Carmel, IN 46032-2605 | 2006-11-28 |
| 1962508853 | Indiana Phlebology PC | Surgery | 371 E 84th Dr Ste 371, Merrillville, IN 46410-6484 | 2006-09-16 |
| 1447361928 | The Heart and Vascular Clinic, P.C. | Surgery | 3251 Shawnee Drive South, Bedford, IN 47421 | 2006-08-31 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.