Southeast Vascular Group LP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHEAST VASCULAR GROUP LP

Practice address

1619 Creighton Rd
Pensacola, FL 32504-7152

Phone

(850) 429-0100

Fax

(850) 429-0803

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Layne R. Yonehiro, MDNPI 1083699276

Title

President

Phone

(850) 429-0102

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Southeast Vascular Group LP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Vascular Group LP

  • Surgery Physician
  • Pensacola, FL
  • NPI 1184609372
  NPD tax ID
• Southeast Vascular Group LP

  • Surgery Physician
  • Gulf Breeze, FL
  • NPI 1295302990
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Layne R. Yonehiro, MD

  • Surgery Physician
  • Pensacola, FL
  • NPI 1083699276
  NPD (past) Authorized official

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1487221180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30090",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031090",
            "telephone_number": "850-429-0102",
            "fax_number": "850-429-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-429-0100",
            "fax_number": "850-429-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST VASCULAR GROUP LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "YONEHIRO",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-429-0102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soundside Therapy LLC
• Phokham Mike Sourivanh, PA-C
• South Coast Audiology, LLC (Ascent Audiology and Hearing)
• Southeast Association of Healthcare Providers Inc (Return to Health Medical Home and Wellness Center)
• Southeast Vascular Group LP
• Southeastern Osteoporosis Services Inc
• Southern Dental Associates, P.a.
• Southern Family Markets LLC (Food World Pharmacy)
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Oaks Facility Inc (Southern Oaks Care Center)

• Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.