Vascular Surgery Associates, P.a.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR SURGERY ASSOCIATES, P.A.

Practice address

2631 Centennial Blvd
Ste 100
Tallahassee, FL 32308-0588

Phone

(850) 877-8539

Fax

(850) 877-6674

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Fuentes, M.H.A

Title

Practice Administrator

Phone

(850) 877-8539

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2eeadd18-0e47-46b5-b124-bf3110ed368e/

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1407953771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD",
            "address_2": "STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080588",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD",
            "address_2": "STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080588",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-877-8539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255471200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038191A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Vansickle, M.D.
• Anthony R Vara, M.D.
• Cristal Anelis Vargas Santiago, DC
• Sophia Vargas
• Padma Vasanthakumar, MD
• Melanie Genevieve Vasquez, MD
• Mary Elizabeth Vaughan, LMHC
• Nicole Monique Vazquez
• Emilie Vedder
• Mariela Vega Arreola

• Vascular Surgery Physician in Tallahassee, FL
• Providers in Tallahassee, 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 Mar 30, 2017; 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.