Active NPI
Vascular Institute of Atlanta, LLC
- Vascular Surgery Physician
- Roswell, GA
National Provider Identifier
1902273709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 064452
- Legal business name
- VASCULAR INSTITUTE OF ATLANTA, LLC
- Practice address
- 1357 Hembree Rd
Suite 240
Roswell, GA 30076-5722 - Phone
- (470) 355-3053
- Fax
- (770) 716-6225
- NPI assigned
- Aug 27, 2015
- 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. Joseph Ricotta, MD
- Title
- Agent/Manager
- Phone
- (470) 355-3053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 064452 | GA | Primary |
Addresses
Primary practice location
1357 Hembree Rd
Suite 240
Roswell, GA 30076-5722
Mailing address
1357 Hembree Rd
Suite 240
Roswell, GA 30076-5722
Phone (470) 355-3053
Other names 1
- Vascularone, LLC
National Provider Directory
National Provider DirectoryLocations
2500 Hospital Blvd
Ste 130
Roswell, GA 30076
Phone (470) 267-1520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1902273709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 HEMBREE RD",
"address_2": "SUITE 240",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765722",
"telephone_number": "470-355-3053",
"fax_number": "770-716-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 HEMBREE RD",
"address_2": "SUITE 240",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765722",
"telephone_number": "470-355-3053",
"fax_number": "770-716-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR INSTITUTE OF ATLANTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "RICOTTA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "AGENT/MANAGER",
"authorized_official_telephone_number": "470-355-3053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "064452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vascularone, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.