Dominion Vascular Surgical Specialists

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

DOMINION VASCULAR SURGICAL SPECIALISTS

Practice address

917 Rinehart Rd Ste 2041
Lake Mary, FL 32746-4806

Phone

(347) 829-0399

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Olubunmi Olatayo Esan, MDNPI 1558795377

Title

Dr.

Phone

(347) 829-0399

Specialties & licenses 1

Addresses

Tax ID family

Dominion Vascular Surgical Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dominion Vascular Surgical Specialists

  • Vascular Surgery Physician
  • Lake Mary, FL
  • NPI 1134966286
  NPD tax ID

Practitioners 1

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

• Olubunmi Olatayo Esan, M.D

  • Vascular Surgery Physician
  • Lake Mary, FL
  • NPI 1558795377
  NPD (past) Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1336982644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464806",
            "telephone_number": "347-829-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464806",
            "telephone_number": "347-829-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION VASCULAR SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "ESAN",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_middle_name": "OLATAYO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "347-829-0399",
        "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": []
}

• Dna Comprehensive Therapy Services, LLC
• Hannah Dobbelmann
• Micah Dobbins
• Jennifer Marie Doig, MS
• Dominion Vascular Surgical Specialists
• Anabella M Dones, MD
• Shruti Dosi, DPM
• Molly Dowdy, BCBA
• Tyler Christian Downer
• David Orion Doyle III

• Vascular Surgery Physician in Lake Mary, FL
• Providers in Lake Mary, 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 Jun 14, 2024; 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.