Vascular & Interventional SP

Primary specialty

SpecialistTaxonomy code 174400000X

License

K3506 Issued in TX

Legal business name

VASCULAR & INTERVENTIONAL SP

Practice address

100 Medical Center Blvd
Suite 118
Conroe, TX 77304-2888

Phone

(936) 539-4031

Fax

(936) 539-4537

NPI assigned

May 12, 2006

Last updated

May 13, 2008By 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

Brian R Turley, MD

Title

President

Phone

(936) 539-4031

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Rosemarie Guzman, PA-C

  • Physician Assistant
  • Spring, TX
  • NPI 1710937552
  NPD (past)
• Mobolaji Odelowo, MD

  • Vascular & Interventional Radiology Physician
  • Conroe, TX
  • NPI 1073562419

  Specialist

  NPD (past)
• Joseph R Zacharko, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1497795041
  NPD (past)
• Sara Marie Denning, PA-C

  • Medical Physician Assistant
  • Findlay, OH
  • NPI 1609825140
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1801847330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 105",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-539-6497",
            "fax_number": "936-539-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-539-4031",
            "fax_number": "936-539-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & INTERVENTIONAL SP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-539-4031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157878301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0026HS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamrie N Vanwinkle, MA, BCBA, LBA
• Logan Vargas, DO
• Stephen Vargo
• Jemima Sarah Varughese, DMD
• Sai Ashish Vasa
• Jaime Vasquez
• Velia Vasquez, RN
• Dennis Ashford Vaughan Jr.
• Jaclyn Kaye Vaughn
• Deborah Vayon

• Specialist in Conroe, TX
• Providers in Conroe, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.