NPIMap

Organization Active NPI

Vascular Medicine & Surgical Associates, LLP

  • Specialist
  • Youngstown, OH
National Provider Identifier
1346438751
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-046028 Issued in OH
Legal business name
VASCULAR MEDICINE & SURGICAL ASSOCIATES, LLP
Practice address
540 Parmalee Ave
410
Youngstown, OH 44510-1716
Phone
(330) 747-1106
Fax
(330) 747-0491
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Venkata S. Kollipara, M.D.NPI 1497722375
Title
President
Phone
(330) 747-1106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-046028 OH Primary

Addresses

Primary practice location

540 Parmalee Ave
410
Youngstown, OH 44510-1716

Mailing address

540 Parmalee Ave
410
Youngstown, OH 44510-1716
Phone (330) 747-1106

Other identifiers 2

IdentifierTypeStateIssuer
0589368MedicaidOH
DA9406OtherOHRAILROAD MEDICARE

Other names 1

  • Kollipara & Kollipara Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1346438751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-747-1106",
            "fax_number": "330-747-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-747-1106",
            "fax_number": "330-747-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR MEDICINE & SURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "KOLLIPARA",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-747-1106",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-046028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589368",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kollipara & Kollipara",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.