General & Vascular Surgery PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GENERAL & VASCULAR SURGERY PC

Practice address

621 Memorial Dr
South Bend, IN 46601-1064

Phone

(574) 236-1888

Fax

(574) 236-1887

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

John McGinley

Title

Practice Manger

Phone

(574) 236-1888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1740267822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011064",
            "telephone_number": "574-236-1888",
            "fax_number": "574-236-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011064",
            "telephone_number": "574-236-1888",
            "fax_number": "574-236-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL & VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "574-236-1888"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gauthier, LCSW
• Tyra Denee Gaylord, M.D.
• Nicole Gebadlo
• Micayla M Gebby, CCC-SLP
• Manana Gegeshidze, MD
• Genoa Healthcare LLC
• Gentle Touches Home Care Services, LLC
• Donald S. Gentner, M.S.,LCSW
• Geoffrey a. Klopenstine DDS PC
• Amanda Rachel George

• Vascular Surgery Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.