DOMINION VASCULAR SURGICAL SPECIALISTS – NPI #1336982644
Surgery

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

DOMINION VASCULAR SURGICAL SPECIALISTS is a surgeon located in LAKE MARY, FL. NPPES has assigned the NPI number 1336982644 to DOMINION VASCULAR SURGICAL SPECIALISTS on June 14, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 DOMINION VASCULAR SURGICAL SPECIALISTS below.

NPI Profile for
DOMINION VASCULAR SURGICAL SPECIALISTS

NPI Number
1336982644
Enumeration Date

(about 2 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
DOMINION VASCULAR SURGICAL SPECIALISTS
Primary location
917 RINEHART RD STE 2041
LAKE MARY, FL 32746-4806
Phone: (347) 829-0399 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLUBUNMI ESAN
DR.
Phone: (347) 829-0399
Updated
Certification Date
Jun 14, 2024

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)

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.