NPIMap

Organization Active NPI

Vascular Specialists of Central Florida Inc

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1811976004
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC
Practice address
80 W Michigan St
Orlando, FL 32806-4453
Phone
(407) 648-4323
Fax
(407) 839-1493
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Charles S Thompson, M.D.NPI 1396724571
Title
Owner
Phone
(407) 648-4323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

80 W Michigan St
Orlando, FL 32806-4453

Mailing address

80 W Michigan St
Orlando, FL 32806-4453
Phone (407) 648-4323

Other identifiers 2

IdentifierTypeStateIssuer
CK4843OtherFLRAILROAD MEDICARE ID NUMB
77005OtherFLBC/BS OF FL ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000198 FL Part B Supplier - Clinic/Group Practice 9931099413 Receives reassigned benefits from 11 practitioners
Practice locations: Clermont, FL; Orlando, FL; Ocoee, FL

National Provider Directory

National Provider Directory

Locations

7460 Docs Grove Cir
Orlando, FL 32819
Phone (407) 903-9360

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1811976004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-648-4323",
            "fax_number": "407-648-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-648-4323",
            "fax_number": "407-839-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-648-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID NUMB",
            "identifier": "CK4843",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL ID NUMBER",
            "identifier": "77005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.