Vascular Specialists of Mobile, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20777 Issued in MS

Legal business name

VASCULAR SPECIALISTS OF MOBILE, P.C.

Practice address

90 Industrial Park Cir
Ocean Springs, MS 39564-5800

Phone

(228) 327-5225

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By 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

Glenn Elliott Esses, M.D.

Title

Owner

Phone

(251) 432-0558

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1215265939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-432-0558",
            "fax_number": "251-432-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 INDUSTRIAL PARK CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645800",
            "telephone_number": "228-327-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS OF MOBILE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ESSES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-432-0558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "20777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise H. Usher, FNP-BC
• Value in Prevention of Mississippi, PLLC
• Van Wurm MD,PLLC
• Cynthia Vanderwood
• Elizabeth Vanhuffel, PHARMD
• Iva Nell Vaughan, FNP
• Michele J. Velez, SLP
• Lori Leanne Virgilio, FNP
• William K Wade, BOCP, COF, C.PED.
• Kathryn Kim Waggoner, PSY.D., ABPP

• Specialist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.