VASCULAR INSTITUTE OF ATLANTA, LLC (NPI# 1902273709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902273709 |
| Entity Type | Organization |
| Organization Name | VASCULAR INSTITUTE OF ATLANTA, LLC |
| Other Organization Name | VASCULARONE, LLC |
| Practice Address |
1357 Hembree Rd Suite 240 Roswell GA 30076-5722 |
| Practice Telephone | 4703553053 |
| Practice Fax Number | 7707166225 |
| Mailing Telephone | 4703553053 |
| Mailing Fax Number | 7707166225 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | DR. JOSEPH RICOTTA (AGENT/MANAGER) |
| Authorized Official Telephone | 4703553053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
064452 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vascularone, LLC | Former Legal Business Name - Organization |
| Street Address |
1357 HEMBREE RD SUITE 240 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467611 | John Leihugh Moseley | Urology | 1357 Hembree Rd, Suite 250, Roswell, GA 30076 | 2005-06-16 |
| 1538537923 | Northside Plastic Surgery of Atlanta, LLC | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2015-09-02 |
| 1699112953 | Steven Clint Manley | Physician Assistant | 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | 2013-05-28 |
| 1396039020 | Lauren Hall Randall | Internal Medicine | 1357 Hembree Rd, Suite 150, Roswell, GA 30076-5722 | 2011-05-27 |
| 1790075117 | Dr. Brian K. Howard P.C. | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2011-04-19 |
| 1487951364 | The Sleep Specialty Center of Ga, LLC | Specialist | 1357 Hembree Rd, Suite 120, Roswell, GA 30076-5722 | 2011-02-11 |
| 1164733697 | Thomas Randall Humphrey | Physician Assistant | 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | 2010-06-30 |
| 1386870731 | Adamantios Michael Mellis | Urology | 1357 Hembree Rd, Ste 250, Roswell, GA 30076-5722 | 2009-05-29 |
| 1134315641 | North Atlanta Heart Group | Internal Medicine | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-09-18 |
| 1144358508 | Margaret Sharp | Nurse Practitioner | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
|---|---|---|---|---|
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
| 1487133278 | Usa Vascular Center of Decatur LLC | Surgery | 495 Winn Way Ste 230, Decatur, GA 30030-1736 | 2018-08-13 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1689012205 | Daniel Joseph Badia | Surgery | 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 | 2013-06-05 |
| 1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
| 1184879678 | Rockdale Vascular and Thoracic Surgery, LLC | Surgery | 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2008-11-25 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
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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.