Active NPI
USA Vascular Centers of Kent PLLC
- Vascular Surgery Physician
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA VASCULAR CENTERS OF KENT PLLC
- Practice address
- 26124A Pacific Hwy S Ste a
Kent, WA 98032-6910 - Phone
- (206) 508-8768
- Fax
- (224) 235-4652
- NPI assigned
- Jun 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Katsnelson, MD
- Title
- Director
- Phone
- (847) 257-1244
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
26124A Pacific Hwy S Ste a
Kent, WA 98032-6910
Mailing address
4141 Dundee Rd
Northbrook, IL 60062-2129
Phone (847) 257-1244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
607 SE Everett Mall Way
Ste 2A
Everett, WA 98208
2500 Hewitt Ave
Ste A
Everett, WA 98201
26124A Pacific Hwy S
Kent, WA 98032
Phone (206) 508-8768
26124A Pacific Hwy S
Ste A
Kent, WA 98032
Phone (206) 508-8768
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elk Grove Village, IL
- NPI 1285672840
WA
-
- Vascular Surgery Physician
- Sunnyside, WA
- NPI 1164461331
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Joplin, MO
- NPI 1659309128
WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589241600000",
"number": "1356722938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 DUNDEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622129",
"telephone_number": "847-257-1244",
"fax_number": "224-246-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26124A PACIFIC HWY S STE A",
"city": "KENT",
"state": "WA",
"postal_code": "980326910",
"telephone_number": "206-508-8768",
"fax_number": "224-235-4652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA VASCULAR CENTERS OF KENT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-09",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-257-1244",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.