NPIMap

Organization Active NPI

Vascular Health Clinics PLLC

  • Vascular Surgery Physician
  • Midland, MI
National Provider Identifier
1003298340
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR HEALTH CLINICS PLLC
Practice address
2125 Ridgewood Dr
Midland, MI 48642-5863
Phone
(989) 254-6427
Fax
(989) 607-1314
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Omar Purves Haqqani, M.D.NPI 1932369618
Title
Ceo
Phone
(989) 254-6427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

2125 Ridgewood Dr
Midland, MI 48642-5863

Mailing address

2125 Ridgewood Dr
Midland, MI 48642-5863
Phone (989) 254-6427

Other names 1

  • Vascular Health Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150817000300 MI Part B Supplier - Clinic/Group Practice 7214242528 Receives reassigned benefits from 20 practitioners
Practice locations: Bay City, MI; Saginaw, MI; Mt Pleasant, MI; Gladwin, MI; Midland, MI; Clare, MI

National Provider Directory

National Provider Directory

Locations

618 Mulholland St
Bay City, MI 48708
Phone (989) 778-2400

10785 S Grant Ave
Clare, MI 48617
Phone (989) 254-6427

2125 Ridgewood Dr
Midland, MI 48642
Phone (989) 254-6427

1520 N Michigan Ave
Saginaw, MI 48602
Phone (989) 254-6427

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1003298340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 RIDGEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425863",
            "telephone_number": "989-254-6427",
            "fax_number": "989-607-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 RIDGEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425863",
            "telephone_number": "989-254-6427",
            "fax_number": "989-607-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR HEALTH CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "HAQQANI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "PURVES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-254-6427",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Health Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.