Graduate Vascular and Endovascular Associates, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC

Practice address

51 N 39TH St
Suite 2B
Philadelphia, PA 19104-2640

Phone

(215) 893-2996

NPI assigned

Dec 5, 2006

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark P Mantell, MD

Title

Owner

Phone

(215) 893-2996

Specialties & licenses 1

Addresses

Locations

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.

• Levester Kirksey, MD

  • Vascular Surgery Physician
  • Cleveland, OH
  • NPI 1912916560
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1184782989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "address_2": "SUITE 2B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-893-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "address_2": "SUITE 2B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-893-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-893-2996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graduate Hospital Dept. of Medicine Education & Research Foundation (Eric J. Deppert, M.D.)
• Graduate Hospital Dept. of Medicine Education & Research Foundation (Internal Medicine Associates)
• Graduate Hospital Dept. of Medicine Education & Research Foundation (John J. Wasniewski, Jr. D.O.)
• Graduate Operator LLC (Graduate Post Acute)
• Graduate Pulmonary & Sleep Associates, PC
• Bridget Grady, PHARMD
• Brittany Grady, MS, OTR/L, CHES
• Katerina Grady, LPC
• Matthew F Grady, MD
• Michael S Grady, MD

• Vascular Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.