CARDIAC & VASCULAR SURGERY SPECIALIST, PA – NPI #1740468396
Surgery

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

CARDIAC & VASCULAR SURGERY SPECIALIST, PA is a surgeon located in GAINESVILLE, FL. NPPES has assigned the NPI number 1740468396 to CARDIAC & VASCULAR SURGERY SPECIALIST, PA on February 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is VASCULAR SURGERY SPECIALISTS. 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 13 years ago on Jan 29, 2013. 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 CARDIAC & VASCULAR SURGERY SPECIALIST, PA below.

NPI Profile for
CARDIAC & VASCULAR SURGERY SPECIALIST, PA

NPI Number
1740468396
Enumeration Date

(more than 18 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
CARDIAC & VASCULAR SURGERY SPECIALIST, PA
Former Legal Business Name: VASCULAR SURGERY SPECIALISTS
Primary location
1121 NW 64TH TERR.
STE A
GAINESVILLE, FL 32605
Phone: (352) 331-6777 Fax: (352) 331-8899
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELMER CROUSHORE
OWNER
Phone: (352) 331-6777
Updated
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.