Rockdale Vascular and Thoracic Surgery, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ROCKDALE VASCULAR AND THORACIC SURGERY, LLC

Practice address

1368C Wellbrook Cir NE
Conyers, GA 30012-3872

Phone

(770) 785-7195

Fax

(770) 785-7405

NPI assigned

Nov 25, 2008

Last updated

Nov 25, 2008By 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

Dr. C John Ablan, MD

Title

Managing Partner

Phone

(770) 785-7195

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.

• Charles John Ablan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooksville, FL
  • NPI 1174630529
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1184879678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368C WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368C WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-785-7195",
            "fax_number": "770-785-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE VASCULAR AND THORACIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "ABLAN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-785-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rockdale Physician Practices, LLC (Premier Healthcare Alliance)
• Rockdale Psychiatric Associates PC
• Rocky Mountain Holdings LLC
• Danielle Marie Roddy
• Rodney a West, DC, LLC
• Natasha Roebuck
• Rogenia's PHC Services LLC

• Vascular Surgery Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.