Vascular Surgery of Kokomo, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

01058152A Issued in IN

Legal business name

VASCULAR SURGERY OF KOKOMO, PC

Practice address

305 S Berkley Rd
Kokomo, IN 46901-5114

Phone

(765) 236-8750

Fax

(765) 236-8760

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Craig A Miller, MD

Title

Physician

Phone

(765) 236-8750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1497702013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114",
            "telephone_number": "765-236-8750",
            "fax_number": "765-236-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114",
            "telephone_number": "765-236-8750",
            "fax_number": "765-236-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY OF KOKOMO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "765-236-8750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01058152A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedez Vanmeter
• Brianna Vannatta
• Yvonne Lynn Vanosdol
• Brentt Charles Vansickle, FNP-C
• Samantha Lynn Vanwinkle, BCBA
• Anna-Therese Vaughan, MA
• Michelle Vazquez
• Theresa Anne Veach, PH.D., HSPP
• Alberto Velasco, DDS
• Suzanne Lynn Venable, RPH

• Vascular Surgery Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.