Vasana Cheanvechai MD, LTD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME70243 Issued in FL

Legal business name

VASANA CHEANVECHAI MD, LTD

Practice address

4800 NE 20TH Ter
Ste 109
Ft Lauderdale, FL 33308-4510

Phone

(954) 338-3021

Fax

(330) 563-0604

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie C Daves

Title

Office Manager

Phone

(330) 563-0617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Vasana Cheanvechai, M.D.,

  • Vascular Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1124172622

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1457773210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "STE 109",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-338-3021",
            "fax_number": "330-563-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "STE 109",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-338-3021",
            "fax_number": "330-563-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANA CHEANVECHAI MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "DAVES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-563-0617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME70243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Renae Vargo
• Variety Children'S Hospital, Inc.
• Robin Varon, P.T.
• Lena Marie Varone, DMD
• Michael Varvaro, D.O.
• Vascular Specialists of Broward
• Marina Emily Vasilaros, D.M.D.
• Janessy Vasquez, MD
• Jesus Antonio Vasquez
• Kathy Vasquez

• Vascular Surgery Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Sep 5, 2014; 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.

Verify at the official NPI Registry.