Vascular Center of Mobile, P.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD19175 Issued in AL

Legal business name

VASCULAR CENTER OF MOBILE, P.C.

Practice address

1151 Dauphin St
Mobile, AL 36604

Phone

(251) 445-0075

Fax

(251) 445-0072

NPI assigned

Aug 2, 2011

Last updated

Jul 1, 2022By 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

Alyssa N Seabrook

Title

Insurance Specialist

Phone

(251) 445-0075

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 6

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.

• Benjamin J Makamson, MD

  • Vascular Surgery Physician
  • Mobile, AL
  • NPI 1518960038
  Medicare reassignment NPD
• Glenn E Esses, M.D.

  • Vascular Surgery Physician
  • Mobile, AL
  • NPI 1912900283
  Medicare reassignment
• Celeste Pierson Fleming, PA-C

  • Physician Assistant
  • Daphne, AL
  • NPI 1184875569
  Medicare reassignment
• Charles V Gaston Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Mobile, AL
  • NPI 1073990644
  NPD (past)
• Michael Aaron Maschek, DPM

  • Foot & Ankle Surgery Podiatrist
  • Opp, AL
  • NPI 1982624433
  NPD (past)
• Austin Hunter Trupp, MD

  • Vascular & Interventional Radiology Physician
  • Mobile, AL
  • NPI 1902251853
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1295013696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042547",
            "telephone_number": "251-455-0075",
            "fax_number": "251-445-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36604",
            "telephone_number": "251-445-0075",
            "fax_number": "251-445-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mobile Infirmary Cir",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073513",
            "country_code": "US",
            "telephone_number": "251-455-0075",
            "fax_number": "251-445-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365023016",
            "country_code": "US",
            "telephone_number": "251-445-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3719 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081753",
            "country_code": "US",
            "telephone_number": "251-445-0075",
            "fax_number": "251-445-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR CENTER OF MOBILE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "SEABROOK",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "251-445-0075"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "MD19175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131068",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51118091",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLENN E. ESSES, M.D. - INDIVIDUAL NPI",
            "identifier": "1912900283",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Varnadore, M.S.OTR/L
• Stephen T.F. Varner, MD
• Mikel P Vartanian
• Dhruv Vasant, M.D
• Vascular Associates of South Alabama, LLC
• Vascular Specialists of Mobile, P.C.
• Montubua Vasser-Smith, MD
• Tonya Michelle Vaughan
• Whitney Vaughan, DO
• Amy Vaughn, LMFT

• Vascular Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.