ARIZONA VASCULAR SURGERY CONSULTANTS (NPI# 1881624732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881624732 |
| Entity Type | Organization |
| Organization Name | ARIZONA VASCULAR SURGERY CONSULTANTS |
| Practice Address |
2204 S Dobson Rd Mesa AZ 85202-6457 |
| Practice Telephone | 4808900280 |
| Mailing Telephone | 4808900280 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DR. PAUL L VAUGHN (OWNER) |
| Authorized Official Telephone | 4808900280 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 390948 | 05 |
| Street Address |
2204 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992794564 | Iva A Smolens | Surgery | 2204 S Dobson Rd, Suite 204, Mesa, AZ 85202-6457 | 2005-10-17 |
| 1841721461 | Sonoran Pediatric Endocrinology & Diabetes Institute, Plc | Pediatrics | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2017-03-24 |
| 1861673501 | Mara L Hover | Pediatrics | 2204 S Dobson Rd, Ste 101, Mesa, AZ 85202-6457 | 2007-11-23 |
| 1225102858 | Valerie C Simoes | Physician Assistant | 2204 S Dobson Rd, Suite 101, Mesa, AZ 85202-6457 | 2006-11-17 |
| 1194765453 | Joseph C Creech | Dentist | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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 |
|---|---|---|---|---|
| 1154587459 | Hammad Amer | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2008-08-06 |
| 1992801005 | Hani Shennib | Surgery | 3850 E Baseline Rd Ste 103, Mesa, AZ 85206-4403 | 2006-09-15 |
| 1346215589 | Henry S Tarlian Jr. | Surgery | 7165 E University Drive Suite 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1871026484 | American Vascular Specialists LLC | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2017-04-10 |
| 1831318195 | Paul Joseph Riesenman | Surgery | 6750 E Baywood Ave, Ste 503, Mesa, AZ 85206-1749 | 2007-04-25 |
| 1265521181 | Western Vascular Institute Pllc | Surgery | 7165 E University Dr, Suite 183, Mesa, AZ 85207-6400 | 2006-10-11 |
| 1083701239 | Narendra P Myneni Md PC | Surgery | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2006-10-09 |
| 1043285299 | Mitar Vranic | Surgery | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1437124732 | Narendra Prasad Myneni | Surgery | 1450 S Dobson Rd, Suite A307, Mesa, AZ 85202-4712 | 2006-02-21 |
| 1285607986 | Randall S Fortuna | Surgery | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2006-02-12 |
| Find all providers in MESA | ||||
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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.