NPIMap

Organization Active NPI

Vascular & Transplant Specialists PC

  • Vascular Surgery Physician
  • VA Beach, VA
National Provider Identifier
1104897636
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR & TRANSPLANT SPECIALISTS PC
Practice address
397 Little Neck Rd
3300 South BLDG Ste 100
VA Beach, VA 23452
Phone
(757) 470-5570
Fax
(757) 227-3377
NPI assigned
Feb 1, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Marc H Glickman, MDNPI 1104897560
Title
Managing Director
Phone
(757) 470-5570

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 Physician 2086S0129X Primary

Addresses

Primary practice location

397 Little Neck Rd
3300 South BLDG Ste 100
VA Beach, VA 23452

Mailing address

397 Little Neck Rd
3300 South BLDG Ste 100
VA Beach, VA 23452
Phone (757) 470-5570

Other identifiers 2

IdentifierTypeStateIssuer
7902897OtherNC MEDICAID
CI2484OtherVARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

300 Medical Pkwy
Ste 110
Chesapeake, VA 23320
Phone (757) 436-1005

800 W Olney Rd
Norfolk, VA 23507

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1104897636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BLDG STE 100",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-470-5570",
            "fax_number": "757-227-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BLDG STE 100",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-470-5570",
            "fax_number": "757-227-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & TRANSPLANT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "757-470-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "7902897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2484",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in VA Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.