Active NPI
Vascular Intervention Partners, LLC
- Vascular & Interventional Radiology Physician
- Winter Haven, FL
National Provider Identifier
1992117188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME100529
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular & Interventional Radiology Physician
- Orlando, FL
- NPI 1871549287
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.