Vascular Specialist of Venice and Sarasota PL

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME63973 Issued in FL

Legal business name

VASCULAR SPECIALIST OF VENICE AND SARASOTA PL

Doing business as

Sarasota Interventional Radiology

Practice address

600 N. Cattlemen Rd.
Suite 100
Sarasota, FL 34232-6410

Phone

(941) 378-3231

Fax

(941) 378-3253

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Gerald Edmund Grubbs, MD

Title

Owner

Phone

(941) 378-3231

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Sarasota Interventional Radiology Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1407957871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CATTLEMEN RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326422",
            "telephone_number": "941-378-3231",
            "fax_number": "941-378-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. CATTLEMEN RD.",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326410",
            "telephone_number": "941-378-3231",
            "fax_number": "941-378-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALIST OF VENICE AND SARASOTA PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-378-3231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME63973",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME119376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010369900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF6481",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "002LX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarasota Interventional Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loraine Vargas Villarrubia
• Paul R Varney, MSN ARNP
• Karen Lynn Varone, DDS, MS
• Vascular and Surgery Assoc
• Vascular Associates of Sarasota
• Vascular Specialist of Venice and Sarasota PL
• Vasile Holdings LLC
• Tracy Ann Vasile, D.O.
• Rodica Vasilescu
• Stephanie Vasko, M.D.

• Vascular & Interventional Radiology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.