Northeast Atlanta Vascular Care, LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

NORTHEAST ATLANTA VASCULAR CARE, LLC

Practice address

9140 Corsea del Fontana Way
Naples, FL 34109-4397

Phone

(239) 597-2010

Fax

(239) 597-2313

NPI assigned

Dec 31, 2020

Organization subpart

Yes

Parent organization

NORTHEAST ATLANTA VASCULAR CARE, LLCAs reported in NPPES

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

Authorized official

Name

Lisa McNamara

Title

Cfo

Phone

(239) 597-2010

Specialties & licenses 1

Addresses

Part of

Northeast Atlanta Vascu

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1699362004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "239-597-2010",
            "fax_number": "239-597-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "239-597-2010",
            "fax_number": "239-597-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ATLANTA VASCULAR CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST ATLANTA VASCULAR CARE, LLC",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-597-2010"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Naples, FL
• Providers in Naples, FL by specialty
• Critical Access Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.