Michigan Vascular Access, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MW051199 Issued in MI

Legal business name

MICHIGAN VASCULAR ACCESS, PC

Practice address

21701 W 11 Mile Rd
Southfield, MI 48076-3713

Phone

(248) 355-1100

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Marc Webb, M DNPI 1083672968

Title

President

Phone

(248) 355-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCAHCA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Gregory Webb, MD

  • Surgery Physician
  • Southfield, MI
  • NPI 1083672968

  Vascular Surgery

  NPD Authorized official
• Katherina Luba Sawka, NP-BC

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1578834917
  NPD (past)
• Martin L Blank, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
  • NPI 1477538601
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1609077783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-355-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-355-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN VASCULAR ACCESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-355-1100",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "MW051199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4697091",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MW051199",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Spine and Sports Management P.C.
• Michigan Therapeutic Solutions Inc
• Michigan TMJ Headache Institute
• Michigan United Cerebral Palsy
• Michigan Urological Institute
• Michigan Visiting Physician Services, Inc
• Michigan Wound Care and Hyperbaric Institute PC
• Michigan Wound Care and Hyperbaric Institute PC
• Michiganders for Quality Education
• Midwest Comprehensive Cardiovascular Care PLLC

• Vascular Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.