USA Vascular Centers of Utah LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

USA VASCULAR CENTERS OF UTAH LLC

Practice address

3479 W 4800 S Ste a
Roy, UT 84067-9429

Phone

(385) 386-3698

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By 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

Yan Katsnelson, MDNPI 1285672840

Title

Ceo / President

Phone

(847) 593-8460

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Yan Katsnelson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1285672840
  Authorized official Same address or phone

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1841802352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3479 W 4800 S STE A",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679429",
            "telephone_number": "385-386-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VASCULAR CENTERS OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "847-593-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Kristyne Toyn
• Training in Life Choices, L.L.C.
• Trinity Mission Health & Rehab of Roy, LP (Heritage Park)
• Melody Tuck
• Twilight Management (beehive homes)
• Utah CVS Pharmacy, L.L.C. (CVS Pharmacy # 10232)
• Ainslie Vandehei
• Renn D Veater, DMD
• Menazuri Vigil
• Derrek Vowles

• Vascular Surgery Physician in Roy, UT
• Providers in Roy, UT by specialty
• Vascular Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.