Organization Active NPI

North Alabama Vascular and Dialysis Access Care LLC

Doing business as Vascon

  • Nephrology Physician
  • Huntsville, AL
National Provider Identifier
1306430947
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTH ALABAMA VASCULAR AND DIALYSIS ACCESS CARE LLC
Doing business as
Vascon
Practice address
1311 Memorial Pkwy NW Ste 300
Huntsville, AL 35801-5944
Phone
(256) 535-5008
NPI assigned
Feb 24, 2021
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Jason Lohmeyer
Title
Cfo
Phone
(847) 949-3855

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

1311 Memorial Pkwy NW Ste 300
Huntsville, AL 35801-5944

Mailing address

1 Parkway North Blvd Ste 200S
Deerfield, IL 60015-2534
Phone (847) 949-3843

Other names 1

  • VASCON Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210316002297 AL Part B Supplier - Clinic/Group Practice 5092121004 Receives reassigned benefits from 4 practitioners
Practice locations: Huntsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2216349Vascon1311 Memorial Parkway NW, Suite 300, Huntsville, AL 35801Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

1311 Memorial Pkwy NW
Ste 300
Huntsville, AL 35801
Phone (256) 535-5008

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1306430947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKWAY NORTH BLVD STE 200S",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152534",
            "telephone_number": "847-949-3843",
            "fax_number": "877-823-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MEMORIAL PKWY NW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015944",
            "telephone_number": "256-535-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA VASCULAR AND DIALYSIS ACCESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "LOHMEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-949-3855"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VASCON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VASCON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.