Vascular Surgery Associates PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

31967 Issued in MN

Legal business name

VASCULAR SURGERY ASSOCIATES PA

Practice address

11855 Ulysses St NE Ste 220
Blaine, MN 55434-4181

Phone

(763) 427-8547

Fax

(763) 576-5394

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Craig Stuart Walvatne, MDNPI 1972515427

Title

Physician

Phone

(763) 427-8547

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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

• Craig Stuart Walvatne, M.D.

  • Vascular Surgery Physician
  • Blaine, MN
  • NPI 1972515427
  Medicare reassignment Care Compare group Authorized official
• Stephanie Rae Walvatne, N.P.

  • Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1689074155
  Medicare reassignment Care Compare group NPD
• Daniel Berton Ahlberg, M.D.

  • Neurological Surgery Physician
  • Golden Valley, MN
  • NPI 1972556504
  NPD (past)
• Laura Elizabeth Heydt, PA

  • Physician Assistant
  • Saint Paul, MN
  • NPI 1447583331
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1083894836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE STE 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344181",
            "telephone_number": "763-427-8547",
            "fax_number": "763-576-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE STE 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344181",
            "telephone_number": "763-427-8547",
            "fax_number": "763-576-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "WALVATNE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "763-427-8547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "31967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1778251",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vsavip.com",
            "affiliation": "N",
            "endpointDescription": "www.vsavip.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11855 Ulysses St NE Ste 220",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554344181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bao Vang
• Christelle Vang, D.C.
• Nhia Tong Vang
• Tong Vang, DIGITAL HEALTH COACH
• Daniel J Vanhouse, PT
• Vaughn Chiropractic PLLC (Healthsource of Blaine Chiropractic & Progressive Rehab)
• Robert Lloyd Vaughn III, D.C. ATC. ATR
• Leonard Verbeke
• Verdan PA (Community Chiropractic Center)
• Anthony Joseph Vertalino, P.T.

• Vascular Surgery Physician in Blaine, MN
• Providers in Blaine, MN by specialty
• Vascular Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.