Vasaio, LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

5101012967 Issued in MI

Legal business name

VASAIO, LLC

Practice address

1100 E Paris Ave SE
Grand Rapids, MI 49546-8367

Phone

(616) 942-2966

NPI assigned

Mar 11, 2008

Last updated

Aug 6, 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

Vickie Bennett

Title

Owner

Phone

(616) 942-2966

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1609046184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468367",
            "telephone_number": "616-942-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468367",
            "telephone_number": "616-942-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASAIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-942-2966"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "5101012967",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "5101012967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Vargo, PHD
• Abha G. Varma, MD
• Manish Kumar Varma, MD
• Matthew Varnell, MA
• George Varughese, M.D.
• Malar Vasanthan, MD
• Vascular Anesthesia Staffing LLC
• Peter S Vasiu, DO
• Elvis Alejandro Vasquez
• Keowa Mai Vasquez, M.D.

• Procedural Dermatology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Procedural Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.