Cardiac & Vascular Surgery Specialist, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CARDIAC & VASCULAR SURGERY SPECIALIST, PA

Practice address

1121 NW 64TH Terr.
Ste a
Gainesville, FL 32605

Phone

(352) 331-6777

Fax

(352) 331-8899

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Elmer E. Croushore III, MD

Title

Owner

Phone

(352) 331-6777

Specialties & licenses 1

Addresses

Other names 1

• Vascular Surgery Specialists Former legal business name

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1740468396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TERR.",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-6777",
            "fax_number": "352-331-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TERR.",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-6777",
            "fax_number": "352-331-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VASCULAR SURGERY SPECIALIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CROUSHORE",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-331-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Surgery Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle Cardel, PH.D., R.D.
• Jose Maria Cardenas Fimbres, MD
• Segundo Joel Cardenas- Goicoechea, MD
• Ivette Cardenas-Esprit, APRN
• Cardiac & Vascular Surgery Associates, Inc.
• Cardiac and Vascular Institute Ambulatory Surgery Center, LLC
• Cardiology Associates of Gainesville
• Bruno Cardoso Goncalves, MD
• Care Clinic Inc.
• Care for You of Florida Inc

• Vascular Surgery Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.