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PERFUSION VASCULAR VIDALIA LLC
NPI 1356875637
Surgery - Vascular Surgery in Vidalia, LA

Active since April 13, 2017
107 FRONT ST, VIDALIA, LA 71373(985) 892-7070(985) 892-7017 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Sep 1, 2017, Apr 13, 2017 (3 updates tracked since 2017).

About Perfusion Vascular Vidalia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFUSION VASCULAR VIDALIA LLC (NPI 1356875637) is a healthcare organization registered as a vascular surgery in Vidalia, Louisiana and active in the NPI registry since April 2017. The organization lists Shaun R Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1356875637
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePERFUSION VASCULAR VIDALIA LLC
Location Address107 FRONT STVidalia, LA 71373-2836
Mailing AddressPo Box 1089Hammond, LA 70404 · (985) 892-7070 · Fax (985) 892-7017
Phone(985) 892-7070
Fax(985) 892-7017
Organization SubpartNo
Authorized OfficialShaun R CarpenterOwner · (985) 892-7070
Enumeration DateApril 13, 2017
Last NPPES UpdateJune 25, 20213 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1356875637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
107 FRONT ST, Vidalia, LA 71373
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TILLMAN MEDICAL GROUP PA
Specialist
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-2216
DR. CLIFFORD RANDOLPH TILLMAN
Internal Medicine (Gastroenterology)
107 FRONT ST, SUITE 2126
VIDALIA, LA 71373
Concordia Parish (318) 336-2216
RIVER PARK ASC LLC
Clinic/Center (Ambulatory Surgical)
107 FRONT ST, STE.1100
VIDALIA, LA 71373
Concordia Parish (318) 336-2218
RIVERPARK LABORATORY SERVICES
Clinical Medical Laboratory
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-9370
RIVERVIEW PULMONARY CLINIC
Internal Medicine (Pulmonary Disease)
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-2222
RIVERFRONT URGENT CARE CENTER LLC
Clinic/Center (Urgent Care)
107 FRONT ST, STE 2138
VIDALIA, LA 71373
Concordia Parish (318) 336-2219
ARTHUANNA PLATER FNP
Nurse Practitioner (Family)
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (225) 241-5515
RIVERPARK AFTER HOURS CLINIC LLC
Emergency Medical Technician, Basic
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perfusion Vascular Vidalia LLC's NPI number?

The NPI number for Perfusion Vascular Vidalia LLC is 1356875637. It was assigned to this organization in the NPPES registry on April 13, 2017.

Where is Perfusion Vascular Vidalia LLC located?

Perfusion Vascular Vidalia LLC is located at 107 Front St, Vidalia, LA 71373. The listed phone number is (985) 892-7070.

What is Perfusion Vascular Vidalia LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Perfusion Vascular Vidalia LLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.