Vascular Access Center of Southwest Louisiana LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD.202013 Issued in LA

Legal business name

VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC

Practice address

1340 Surrey St
Suite 101
Lafayette, LA 70501-7618

Phone

(337) 205-4330

Fax

(337) 205-4331

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Frederick McGuckin, MD

Title

Ceo/Medical Director

Phone

(215) 382-3680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1609012657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38574",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191048574",
            "telephone_number": "215-382-3680",
            "fax_number": "215-382-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SURREY ST",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017618",
            "telephone_number": "337-205-4330",
            "fax_number": "337-205-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "MD.202013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Ruth Vanhuis, APRN, FNP-C
• Yogeeta Varadarajalu Naidu, MD
• Tyler James Varisco
• Victor Joseph Varisco, OT
• Bailie Marsh Varn, PT
• Deepa Vasireddy, M.D.
• Jeannie Vaughan
• Laura Vaughn, IOMT
• Suguna Veeramachineni, M.D.
• Vees Sitters Services Privat Duty Care LLC

• Vascular & Interventional Radiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Vascular & Interventional Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.