Carolina Vascular Surgery, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

23865 Issued in SC

Legal business name

CAROLINA VASCULAR SURGERY, LLC

Practice address

1721 Ebenezer Rd
Suite 115
Rock Hill, SC 29732-4103

Phone

(803) 985-4000

Fax

(803) 985-4006

NPI assigned

Dec 19, 2006

Last updated

Jul 26, 2012By 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

Mr. Martin Vincent Taormina, MDNPI 1154380350

Title

Owner

Phone

(803) 985-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Martin Vincent Taormina, M.D.

  • Vascular Surgery Physician
  • Fort Mill, SC
  • NPI 1154380350
  Authorized official Same address or phone
• Peter K Zakow, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rock Hill, SC
  • NPI 1568408623
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1508929365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 115",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-985-4000",
            "fax_number": "803-985-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 115",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-985-4000",
            "fax_number": "803-985-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VASCULAR SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "TAORMINA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-985-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "23865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Targeted Case Management,LLC
• Carolina Therapeutic Services, Inc
• Carolina Therapy Solutions for Kids, LLC
• Carolina Urology Center, PA
• Carolina Urology Partners, PLLC
• Carolinas Ambulatory Surgery Inc. (Atrium Health Surgery Center Rock Hill)
• Carolinas Caregivers Enterprises, LLC
• Carolinas Diagnostic Imaging LLC (Novant Health Imaging Rock Hill)
• Carolinas Health and Wellness LLC
• Carolinas Imaging Services, LLC (Carolinas Imaging Services - Fort Mill)

• Vascular Surgery Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Vascular Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.