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ENDOVASCULAR CENTER OF AMERICA PLLC
NPI 1962092213
Surgery - Vascular Surgery in Jackson, MI

Active since January 21, 2021
205 PAGE AVE STE A, JACKSON, MI 49201(517) 787-3577 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2021, Jan 21, 2021 (2 updates tracked since 2021).

About Endovascular Center Of America Pllc NPPES

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

ENDOVASCULAR CENTER OF AMERICA PLLC (NPI 1962092213) is a healthcare organization registered as a vascular surgery in Jackson, Michigan and active in the NPI registry since January 2021. The organization lists Tareq Baghal, Owner, as its authorized official.

NPPES Registry Identity

NPI1962092213
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameENDOVASCULAR CENTER OF AMERICA PLLC
Location Address205 PAGE AVE STE AJackson, MI 49201-2462
Mailing Address205 Page Ave Ste AJackson, MI 49201-2462 · (517) 787-3577
Phone(517) 787-3577
Organization SubpartNo
Authorized OfficialTareq BaghalOwner · (517) 787-3577
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1962092213 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.
205 PAGE AVE STE A, Jackson, MI 49201
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Endovascular Center Of America PLLC's NPI number?

The NPI number for Endovascular Center Of America PLLC is 1962092213. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Endovascular Center Of America PLLC located?

Endovascular Center Of America PLLC is located at 205 Page Ave Ste A, Jackson, MI 49201. The listed phone number is (517) 787-3577.

What is Endovascular Center Of America PLLC's specialty?

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

What insurance does Endovascular Center Of America PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Endovascular Center Of America PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endovascular Center Of America PLLC was last updated on July 22, 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.