NPIMap

Organization Active NPI

Prime Vascular Center PLLC

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1700337227
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301075121 Issued in MI
Legal business name
PRIME VASCULAR CENTER PLLC
Practice address
G-5103 Miller Rd
Flint, MI 48507-1043
Phone
(810) 600-2269
Fax
(810) 720-3367
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Mr. Samir A Elian, M.D.
Title
Medical Doctor
Phone
(810) 600-2269

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 4301075121 MI Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 4301075121 MI
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X AA062994 MI

Addresses

Primary practice location

G-5103 Miller Rd
Flint, MI 48507-1043

Mailing address

G-5103 Miller Rd
Flint, MI 48507-1043
Phone (810) 600-2269

National Provider Directory

National Provider Directory

Locations

5103 Miller Rd
Flint, MI 48507
Phone (810) 600-2269

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1700337227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-5103 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "810-600-2269",
            "fax_number": "810-720-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-5103 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "810-600-2269",
            "fax_number": "810-720-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "ELIAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "810-600-2269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301075121",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301075121",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "AA062994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.