Organization Active NPI

Vascular Surgery Specialist PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1033213558
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VASCULAR SURGERY SPECIALIST PC
Practice address
2601 N 3Rd St
Suite 203
Phoenix, AZ 85004-1104
Phone
(602) 277-7430
Fax
(602) 279-5333
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Douglas John Carlon, MD
Title
President
Phone
(602) 277-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2601 N 3Rd St
Suite 203
Phoenix, AZ 85004-1104

Mailing address

2601 N 3Rd St
Suite 203
Phoenix, AZ 85004-1104
Phone (602) 277-7430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1033213558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "602-277-7430",
            "fax_number": "602-279-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "602-277-7430",
            "fax_number": "602-279-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "CARLON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-277-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.