Active NPI
Arizona Vascular Surgery Consultants
- Vascular Surgery Physician
- Mesa, AZ
National Provider Identifier
1881624732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- ARIZONA VASCULAR SURGERY CONSULTANTS
- Practice address
- 2204 S Dobson Rd
Mesa, AZ 85202-6457 - Phone
- (480) 890-0280
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul L Vaughn, MD
- Title
- Owner
- Phone
- (480) 890-0280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
2204 S Dobson Rd
Mesa, AZ 85202-6457
Mailing address
2204 S Dobson Rd
Mesa, AZ 85202-6457
Phone (480) 890-0280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390948 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
2204 S Dobson Rd
Ste 204
Mesa, AZ 85202
Phone (480) 782-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1881624732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852026457",
"telephone_number": "480-890-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852026457",
"telephone_number": "480-890-0280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA VASCULAR SURGERY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-890-0280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390948",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Arizona Spine and Joint Hospital LLC
- Arizona Sports Clinic LLC
- Arizona State University
- Arizona Trauma Counseling LLC
- Arizona Vascular Medical Equipment Inc.
- Arizona Vision of Mesa PLC
- Arizona Visiting Nurses
- Arizona Visiting Nurses Inc.
- Arizona Women'S Health Partners PLLC
- Arizona'S Best Hearing Aid Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.