Southeast Vascular Group LP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHEAST VASCULAR GROUP LP

Practice address

1040 Gulf Breeze Pkwy Ste 207
Gulf Breeze, FL 32561-7808

Phone

(850) 429-0102

Fax

(850) 429-0803

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Layne R. Yonehiro, MDNPI 1083699276

Title

President

Phone

(850) 429-0102

Specialties & licenses 1

Addresses

Tax ID family

Southeast Vascular Group LP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Vascular Group LP

  • Surgery Physician
  • Pensacola, FL
  • NPI 1184609372
  NPD tax ID
• Southeast Vascular Group LP

  • Surgery Physician
  • Pensacola, FL
  • NPI 1487221180
  NPD tax ID

Locations

Practitioners 1

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

• Layne R. Yonehiro, MD

  • Surgery Physician
  • Pensacola, FL
  • NPI 1083699276
  NPD (past) Authorized official

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1295302990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30090",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031090",
            "telephone_number": "850-429-0102",
            "fax_number": "850-429-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 207",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-429-0102",
            "fax_number": "850-429-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST VASCULAR GROUP LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "YONEHIRO",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-429-0102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne S. Smith, PT
• James Lyle Smuda, ATC
• Carl Maxwell Soelzer, LMHC
• Sos of Gulf Breeze Inc.
• South Seas Alf Care LLC Dba South Seas Alf
• Southern Speech Practitioners LLC
• Speak Swallow Think LLC
• Carl Granberry Speer, MD
• Richard J Stachler, M.D.
• Gearlyn Michelle Staggs, RN

• Surgery Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.