NPIMap

Organization Active NPI

Charles Tattersall M D

Doing business as Vsacular Interventions, LLC

  • Vascular Surgery Physician
  • Michigan City, IN
National Provider Identifier
1700999711
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CHARLES TATTERSALL M D
Doing business as
Vsacular Interventions, LLC
Practice address
8865 W 400 N
Suite 175
Michigan City, IN 46360-9222
Phone
(219) 877-2225
Fax
(219) 877-2230
NPI assigned
Aug 16, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Charles William Tattersall, M.D.NPI 1629048913
Title
Sole Member/President
Phone
(219) 877-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

8865 W 400 N
Suite 175
Michigan City, IN 46360-9222

Mailing address

8865 W 400 N
Suite 175
Michigan City, IN 46360-9222
Phone (219) 877-2225

Other names 1

  • Vsacular Interventions, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8865 W 400 N
Ste 175
Michigan City, IN 46360
Phone (219) 877-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1700999711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 175",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-877-2225",
            "fax_number": "219-877-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 175",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-877-2225",
            "fax_number": "219-877-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES TATTERSALL M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TATTERSALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "219-877-2225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vsacular Interventions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.