Suncoast Vein & Vascular Clinic PLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME81395 Issued in FL

Legal business name

SUNCOAST VEIN & VASCULAR CLINIC PLC

Practice address

1728 Dunlawton Ave
Ste 5
Port Orange, FL 32127-2922

Phone

(386) 304-3404

NPI assigned

Dec 14, 2007

Last updated

Aug 9, 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. Swapna Singireddy

Title

Practice Manager

Phone

(386) 235-9677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Sidney Celine Moore, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Port Orange, FL
  • NPI 1194699199
  Medicare reassignment NPD
• Sukhender R Singireddy, M.D.

  • Diagnostic Radiology Physician
  • Port Orange, FL
  • NPI 1013973882
  Medicare reassignment NPD
• Deepika Aneja, M.D.

  • Pulmonary Disease Physician
  • Rockledge, FL
  • NPI 1083888135
  NPD
• Arjun D Aneja, M.D.

  • Pulmonary Disease Physician
  • Ormond Beach, FL
  • NPI 1972690444

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1750564696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 DUNLAWTON AVE",
            "address_2": "STE 5",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272922",
            "telephone_number": "386-304-3404",
            "fax_number": "386-304-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 DUNLAWTON AVE",
            "address_2": "STE 5",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272922",
            "telephone_number": "386-304-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST VEIN & VASCULAR CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SINGIREDDY",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "386-235-9677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME81395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darah Stroud
• Katie Suarez
• Success Speech Therapy, LLC
• Sue Levy PSYD LCSW PA
• Summerville at Port Orange, Inc. (Brookdale Yorktowne)
• Sunshine Physicians Inc
• Edward Supinski, MD
• Surgery Center of Volusia, LLC (Surgery Center of Volusia)
• Courtney Sutherland
• Meaghan E Sutter, AP, LMT

• Vascular & Interventional Radiology Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.