Vero Vascular Surgery PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VERO VASCULAR SURGERY PA

Practice address

3770 7TH Ter
#101
Vero Beach, FL 32960-6553

Phone

(772) 567-6602

Fax

(772) 567-7754

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

William Clark Beckett, M.D.NPI 1548232333

Title

Owner

Phone

(772) 567-6602

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William C Beckett, MD

  • Vascular Surgery Physician
  • Vero Beach, FL
  • NPI 1548232333
  Medicare reassignment Care Compare group NPD Authorized official
• Alyson Ryall, PA-C

  • Surgical Physician Assistant
  • Vero Beach, FL
  • NPI 1427657055
  Medicare reassignment Care Compare group
• Jonathan Cleon Hendricks, PA-C

  • Physician Assistant
  • Cape Coral, FL
  • NPI 1033185699
  NPD (past)
• Jennifer L Lang, PA-C

  • Surgical Physician Assistant
  • Palm Bay, FL
  • NPI 1417912494
  NPD (past)
• Pranay T. Ramdev, MD

  • Vascular Surgery Physician
  • Vero Beach, FL
  • NPI 1588629620
  NPD (past)
• Thomas David Snyder, PA-C

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1780648949
  NPD (past)
• Shannon Brackett Heuts, PA-C

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1326006214
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1235101700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 7TH TER",
            "address_2": "#101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606553",
            "telephone_number": "772-567-6602",
            "fax_number": "772-567-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 7TH TER",
            "address_2": "#101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606553",
            "telephone_number": "772-567-6602",
            "fax_number": "772-567-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO VASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-567-6602",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "72535",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Victor Rodriguez-Viera MD PA
• Victoria Sharp, PA

• Vascular Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.