Vascular Surgery Associates

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

094320 Issued in AL

Legal business name

VASCULAR SURGERY ASSOCIATES

Practice address

201 Sivley Rd SW
Suite 305
Huntsville, AL 35801

Phone

(256) 536-9000

Fax

(256) 265-6912

NPI assigned

Jun 25, 2006

Last updated

Apr 8, 2008By 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

Mr. Rick M Roberts, M.D.NPI 1790734051

Title

Owner

Phone

(256) 536-9000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• same as above Former legal business name

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.

• Rick Michiel Roberts, M.D.

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1790734051
  Authorized official Same address or phone

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1902832447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "STE 305",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-536-9000",
            "fax_number": "256-265-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 305",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-536-9000",
            "fax_number": "256-265-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-536-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "094320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G73080",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C70970",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H42548",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frans S Vanwagenberg, M.D.
• Purva Charudatta Varadkar, O.T.
• Tara Danne Vardaman, RDN, LD
• Dipti Vasavada, LCSW
• Tarak M Vasavada, MD
• Archana Vashisht, M.D.
• Alejandro Vasquez, M.D.
• Vaughn Family Dentistry, LLC
• Melanie W. Vaughn, CRNP
• Thomas McClain Vaughn, D.M.D

• Preferred Provider Organization in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.