Vascular Specialty Center LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR SPECIALTY CENTER LLC

Practice address

8888 Summa Ave FL 3
Baton Rouge, LA 70809-3720

Phone

(225) 769-4493

Fax

(225) 766-3144

NPI assigned

Jan 20, 2010

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Naomi D Nelson, MHA

Title

Coo

Phone

(225) 769-4493

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: vscclinic@vsc.imed.phimailbox.com

Practitioners 7

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.

• Raegen Harbour Boudreaux, PA

  • Surgical Physician Assistant
  • New Orleans, LA
  • NPI 1952883605
  Medicare reassignment NPD
• Taressa Anne Broussard, NP

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1205323524
  Medicare reassignment NPD
• Mickey Graphia, M.D.

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1588105811
  Medicare reassignment NPD
• Joseph Martin Griffin, M.D.

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1467642777

  Vascular Surgery

  Medicare reassignment NPD
• Meagan G Simoneaux, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1669155941
  Medicare reassignment NPD
• Victor Q Tran, M.D.

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1043453335
  Medicare reassignment NPD
• Marvin V Weaver IV, M.D.

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1801112503
  Medicare reassignment NPD

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1730410408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE FL 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4493",
            "fax_number": "225-766-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE FL 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4493",
            "fax_number": "225-766-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALTY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "225-769-4493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR2923",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795445",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vascular and Endovascular Specialists, LLC
• Vascular Associates Laboratory
• Vascular Specialty Associates
• Vascular Specialty Center Lab
• Vascular Specialty Center Lab
• Vascular Specialty Center LLC
• Vasocare LLC
• Richard Robert Vath, MD
• Sundararama Raju Vatsavai, MD
• Venugopal Vatsavayi, M.D.

• Vascular Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Vascular Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.