Valley Vascular Surgeons PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VALLEY VASCULAR SURGEONS PC

Practice address

3811 East Bell Rd
Suite 208
Phoenix, AZ 85032

Phone

(602) 482-7676

Fax

(602) 482-6152

NPI assigned

Mar 15, 2006

Last updated

Aug 22, 2020By 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. Ronald D Gordon, MDNPI 1356303747

Title

Physician President

Phone

(602) 482-7676

Specialties & licenses 1

Addresses

Other names 1

• Dr Ronald D Gordon Other name

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.

• Ronald D Gordon, MD

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1356303747
  Authorized official Same address or phone

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275502015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 EAST BELL RD",
            "address_2": "SUITE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-482-7676",
            "fax_number": "602-482-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 EAST BELL RD",
            "address_2": "SUITE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-482-7676",
            "fax_number": "602-482-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VASCULAR SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN  PRESIDENT",
        "authorized_official_telephone_number": "602-482-7676",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Dr Ronald D Gordon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Vascular Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.