PREFERRED VASCULAR SERVICES SOUTHWEST (NPI# 1790285229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790285229 |
Entity Type | Organization |
Organization Name | PREFERRED VASCULAR SERVICES SOUTHWEST |
Practice Address |
3885 Princeton Lakes Way Sw Ste 314 Atlanta GA 30331-7100 |
Mailing Address |
9140 Corsea Del Fontana Way Naples FL 34109-4397 |
Practice Telephone | 4043497770 |
Practice Fax Number | 4043497778 |
Mailing Telephone | 2395972010 |
Mailing Fax Number | 2395972313 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2019-08-08 |
Authorized Official Name | MS. LISA MCNAMARA (CFO) |
Authorized Official Telephone | 2395972010 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3885 Princeton Lakes Way Sw Ste 312b, Atlanta, GA 303317100 | 4043497770 | 4043497778 |
Street Address |
3885 PRINCETON LAKES WAY SW STE 314 |
City | ATLANTA |
State | GA |
Zip Code | 30331-7100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114168846 | Shrenik Pankaj Shah | Radiology | 3885 Princeton Lakes Way Sw Ste 314, Atlanta, GA 30331-7100 | 2009-03-09 |
1295256295 | Southwest Atlanta Vascular Care, LLC | Clinic/Center | 3885 Princeton Lakes Way Sw Ste 314, Atlanta, GA 30331-7100 | 2017-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
1033372610 | Robert S Crawford | Surgery | 5673 Peachtree Dunwoody Ste 675, Atlanta, GA 30342-1774 | 2008-07-03 |
1821039991 | Brooks A Whitney | Surgery | 5671 Peachtree Dunwoody Rd Ste 620, Atlanta, GA 30342-5006 | 2006-06-09 |
1962461426 | Frank L Ferrier | Surgery | 1100 Johnson Ferry, Ste 235, Atlanta, GA 30342 | 2006-03-22 |
1295723005 | James Milton Poindexter Jr. | Surgery | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2005-10-06 |
1326044330 | Charles B. Ross | Surgery | 95 Collier Road, Suite 5015, Atlanta, GA 30309 | 2005-06-23 |
1285114363 | Atlanta Vascular Surgery | Surgery | 1002 Lindbergh Dr Ne, Atlanta, GA 30324-3721 | 2018-08-17 |
1528497484 | Vcp 2 Atlanta PC | Surgery | 3390 Peachtree Rd Ne, Ste 425, Atlanta, GA 30326-1157 | 2013-11-01 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.