Organization Active NPI

Vascular Intervention Partners, LLC

  • Vascular & Interventional Radiology Physician
  • Winter Haven, FL
National Provider Identifier
1992117188
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME100529 Issued in FL
Legal business name
VASCULAR INTERVENTION PARTNERS, LLC
Practice address
1015 6TH St NW
Winter Haven, FL 33881-6247
Phone
(407) 496-7611
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sabrina Stephens, M,D.
Title
Cred Manger
Phone
(859) 948-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X ME100529 FL Primary

Addresses

Primary practice location

1015 6TH St NW
Winter Haven, FL 33881-6247

Mailing address

155 S Court Ave
Apt 2602
Orlando, FL 32801-3205
Phone (407) 496-7611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140811000343 FL Part B Supplier - Clinic/Group Practice 6507083888 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

1015 6th St NW
Winter Haven, FL 33881
Phone (407) 496-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1992117188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S COURT AVE",
            "address_2": "APT 2602",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013205",
            "telephone_number": "407-496-7611",
            "fax_number": "863-299-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338816247",
            "telephone_number": "407-496-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INTERVENTION PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CRED MANGER",
        "authorized_official_telephone_number": "859-948-2390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME100529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.