ST CLAIR VASCULAR ASSOCIATES PC
NPI 1720167307
Surgery - Vascular Surgery in St. Clair Shores, MI

Active since November 03, 2006
23829 LITTLE MACK, SUITE 200, ST. CLAIR SHORES, MI 48080(586) 772-4444(586) 772-4411 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Clair Vascular Associates Pc NPPES

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

ST CLAIR VASCULAR ASSOCIATES PC (NPI 1720167307) is a healthcare organization registered as a vascular surgery in St. Clair Shores, Michigan and active in the NPI registry since November 2006. The organization lists Diane M Hall, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1720167307
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameST CLAIR VASCULAR ASSOCIATES PC
Location Address23829 LITTLE MACK, SUITE 200St. Clair Shores, MI 48080-1113
Mailing Address23829 Little Mack, Suite 200St. Clair Shores, MI 48080-1113 · (586) 772-4444 · Fax (586) 772-4411
Fax(586) 772-4411
Organization SubpartNo
Authorized OfficialDiane M HallOffice Administrator · (586) 772-4444
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 12, 2009
NPI 1720167307 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.
23829 LITTLE MACK, St. Clair Shores, MI 48080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
23829 LITTLE MACK, SUITE 200
ST CLAIR SHORES, MI 48080

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 St Clair Vascular Associates PC's NPI number?

The NPI number for St Clair Vascular Associates PC is 1720167307. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is St Clair Vascular Associates PC located?

St Clair Vascular Associates PC is located at 23829 Little Mack Suite 200, St. Clair Shores, MI 48080. The listed phone number is (586) 772-4444.

What is St Clair Vascular Associates PC'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 St Clair Vascular Associates PC was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.