Glastonbury Vascular Associates PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GLASTONBURY VASCULAR ASSOCIATES PC

Practice address

95 Glastonbury Blvd Ste 202
Glastonbury, CT 06033-4456

Phone

(860) 652-8400

Fax

(860) 652-8401

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Lorena Esparza

Title

Revenue Cycle Manager

Phone

(630) 725-2764

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1154972248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151069",
            "telephone_number": "630-725-2700",
            "fax_number": "833-842-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GLASTONBURY BLVD STE 202",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334456",
            "telephone_number": "860-652-8400",
            "fax_number": "860-652-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY VASCULAR ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "630-725-2764"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Psychiatric Care LLC
• Glastonbury Psychological Associates, PC
• Glastonbury Public Schools
• Glastonbury Smiles, PC
• Glastonbury Surgery Center, LLC
• Glastonbury Volunteer Ambulance Association Inc
• Richard Dennis Glisson, D.O.
• Gloria Annitto Olgas Lingerie
• Camila E Gonzalez Ribadeneira, PHARMD
• Marisa Gonzalez, BCBA,LBA

• Vascular Surgery Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.