NPIMap

Organization Active NPI

Vascular Surgery Assoc, PC

  • Vascular Surgery Physician
  • Lapeer, MI
National Provider Identifier
1124411244
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR SURGERY ASSOC, PC
Practice address
1122 S Lapeer Rd Ste C
Lapeer, MI 48446-3387
Phone
(810) 272-3880
Fax
(810) 272-3770
NPI assigned
Mar 13, 2015
Organization subpart
Yes
Parent organization
VASCULAR SURGERY ASSOC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mr. Joseph Jacot, MBANPI 1982758090
Title
Business Administrator
Phone
(810) 732-1620

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

1122 S Lapeer Rd Ste C
Lapeer, MI 48446-3387

Mailing address

5020 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 732-8559

Other names 1

  • Michigan Vascular Center Lapeer Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2097855Michigan Vascular Center - Lapeer1122 S Lapeer Road, Lapeer, MI 48446Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vascular Surgery Assoc PC6 organizations share this tax ID, including this one
Part of
Vascular Surgery Assoc PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1122 S Lapeer Rd
Ste C
Lapeer, MI 48446
Phone (810) 272-3880

1122 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-3660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1124411244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-8559",
            "fax_number": "810-732-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S LAPEER RD STE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463387",
            "telephone_number": "810-272-3880",
            "fax_number": "810-272-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY ASSOC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR SURGERY ASSOC, PC",
        "enumeration_date": "2015-03-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "JACOT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "810-732-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "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": "Michigan Vascular Center Lapeer",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Michigan Vascular Center Lapeer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.