Vascular Surgery Assoc, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR SURGERY ASSOC, PC

Practice address

5054 W Bristol Rd Ste E
Flint, MI 48507-2952

Phone

(810) 600-2030

NPI assigned

Dec 7, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VASCULAR SURGERY ASSOC, PCAs reported in NPPES

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

Authorized official

Name

Joseph M Jacot, CEONPI 1982758090

Title

Chief Executive Officer

Phone

(810) 732-1620

Specialties & licenses 1

Addresses

Other names 1

• Innovative Wound Care Specialists Other name

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

CLIA laboratory certificates

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.

• Vascular Surgery Assoc PC

  dba Michigan Vascular Center

  • Prosthetic/Orthotic Supplier
  • Flint, MI
  • NPI 1679994743
  NPD tax ID
• Vascular Surgery Assoc, P.C.

  • Vascular Surgery Physician
  • Flint, MI
  • NPI 1033167176
  NPD tax ID
• Vascular Surgery Assoc, P.C.

  • Vascular Surgery Physician
  • Flint, MI
  • NPI 1972551000
  NPD tax ID
• Vascular Surgery Assoc, PC

  • Vascular Surgery Physician
  • Lapeer, MI
  • NPI 1124411244
  NPD tax ID
• Vascular Surgery Assoc, PC

  • Vascular Surgery Physician
  • Saginaw, MI
  • NPI 1881039634
  NPD tax ID

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.

• Vascular Surgery Assoc PC

  dba Michigan Vascular Center

  • Vascular Surgery Physician
  • Flint, MI
  • NPI 1710959150
  NPPES parent name

Practitioners 1

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.

• Joseph Michael Jacot, PAC

  • Physician Assistant
  • Flint, MI
  • NPI 1982758090
  Authorized official Same address or phone

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1154198331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 W BRISTOL RD STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072952",
            "telephone_number": "810-600-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 W BRISTOL RD STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072952",
            "telephone_number": "810-600-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY ASSOC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR SURGERY ASSOC, PC",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "JACOT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "810-732-1620",
        "authorized_official_credential": "CEO"
    },
    "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": "Innovative Wound Care Specialists",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Innovative Wound Care Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonah Varney, PA-C
• Vascular Surgery Assoc PC (Michigan Vascular Center)
• Vascular Surgery Assoc PC (Michigan Vascular Center)
• Vascular Surgery Assoc, P.C.
• Vascular Surgery Assoc, P.C.
• Martenis Lemarr Vaughn Sr.
• Godfrey Robert Vaz, M.D., M.P.H.
• Karen E Vedrody, LMSW
• Paras B Veera, PT
• Murugusundaram Veeramani, MD

• Vascular Surgery Physician in Flint, MI
• Providers in Flint, MI by specialty
• Vascular Surgery Physician in Michigan

• 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.