Vascular Associates of South Alabama, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR ASSOCIATES OF SOUTH ALABAMA, LLC

Practice address

1551 Old Shell Rd
Mobile, AL 36604-1354

Phone

(251) 410-8272

Fax

(251) 410-8273

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Andrew Radoszewski

Title

Practice Administrator

Phone

(251) 300-6969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee C Ferguson, D.O.

  • Vascular Surgery Physician
  • Mobile, AL
  • NPI 1932368834

  MS

  Medicare reassignment Care Compare group NPD
• Ralph B Pfeiffer Jr., M.D.

  • Vascular Surgery Physician
  • Mobile, AL
  • NPI 1063415339

  MS

  Medicare reassignment Care Compare group NPD
• William Saliski, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1528475084

  MS

  Medicare reassignment Care Compare group NPD
• Nicholas Sean Clapper, D.O.

  • Vascular Surgery Physician
  • Jackson, MS
  • NPI 1942611314

  AL

  Medicare reassignment Care Compare group NPD
• Michael Brian Hogan, MD

  • Vascular Surgery Physician
  • Biloxi, MS
  • NPI 1982691531

  AL

  Medicare reassignment Care Compare group NPD
• Celeste Pierson Fleming, PA-C

  • Physician Assistant
  • Daphne, AL
  • NPI 1184875569
  Medicare reassignment Care Compare group
• Carl B Regaliza, CRNP

  • Gerontology Nurse Practitioner
  • Mobile, AL
  • NPI 1730720244
  Medicare reassignment NPD
• Stephen P. Wilber, M.D.

  • Nephrology Physician
  • Mobile, AL
  • NPI 1457337081
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1801282868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850849",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850849",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041354",
            "telephone_number": "251-410-8272",
            "fax_number": "251-410-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ASSOCIATES OF SOUTH ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "RADOSZEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "251-300-6969"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Meera Varman, MD
• Jessica Varnadore, M.S.OTR/L
• Stephen T.F. Varner, MD
• Mikel P Vartanian
• Dhruv Vasant, M.D
• Vascular Center of Mobile, P.C.
• Vascular Specialists of Mobile, P.C.
• Montubua Vasser-Smith, MD
• Tonya Michelle Vaughan
• Whitney Vaughan, DO

• Vascular Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.