ST. JOSEPH'S VASCULAR GROUP, LLC – NPI #1164829883
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

ST. JOSEPH'S VASCULAR GROUP, LLC is a surgeon located in SAVANNAH, GA. NPPES has assigned the NPI number 1164829883 to ST. JOSEPH'S VASCULAR GROUP, LLC on November 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Apr 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOSEPH'S VASCULAR GROUP, LLC below.

NPI Profile for
ST. JOSEPH'S VASCULAR GROUP, LLC

NPI Number
1164829883
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH'S VASCULAR GROUP, LLC
Primary location
11909 MCAULEY DRIVE
SUITE 100 A2
SAVANNAH, GA 31419
Phone: (912) 954-8331 Fax: (912) 352-9782
Mailing address
836 E. 65TH STREET
SUITE 22
SAVANNAH, GA 31405
Phone: (912) 819-7878 Fax: (912) 819-3320
Organization Subpart
No
Authorized Official
PAUL HUNCHEY
PRESIDENT/CEO
Phone: (912) 819-6901
Updated
Certification Date
Apr 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.