Arizona Endovascular Center PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ARIZONA ENDOVASCULAR CENTER PLLC

Practice address

6377 E Tanque Verde Rd Ste 101
Tucson, AZ 85715-3839

Phone

(520) 296-5500

Fax

(520) 296-5800

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Berens, MDNPI 1679578702

Title

Partner

Phone

(520) 296-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61209

Practitioners 17

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

• Eric Scott Berens, MD

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1679578702
  Medicare reassignment Care Compare group Authorized official
• Lauren Beliveau, MD

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1366821902
  Medicare reassignment Care Compare group NPD
• Christopher N Compton, MD

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1790780880
  Medicare reassignment Care Compare group
• Sara Catherine McKeever, D.O.

  • Vascular Surgery Physician
  • Pueblo, CO
  • NPI 1275876518

  AZ

  Medicare reassignment Care Compare group
• Rawley C Evans, NP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1164049938
  Medicare reassignment NPD
• Maureen E Middleton, NP

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1982674552
  Medicare reassignment NPD
• Donna Morgan

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1194144360
  Medicare reassignment NPD
• Xiangping Fang

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1649670399
  NPD
• Ludivina Baribeau, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1649782400
  NPD
• Masha Mobbley, FNP

  • Nurse Practitioner
  • Mill Creek, WA
  • NPI 1063862605
  NPD
• Sarah Jane Aldor, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1487930699
  NPD (past)
• Jennifer M Briner, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1376904888
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1619095908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ENDOVASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "520-296-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA8633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Arizona Foot and Ankle Surgery LLC

• Vascular Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.