Organization Active NPI

Vascular Institute of Atlanta, LLC

  • Vascular Surgery Physician
  • Roswell, GA
National Provider Identifier
1902273709
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
064452 Issued in GA
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

Updated by the provider on Sep 24, 2015

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.