1. Home
  2. Directory
  3. Michigan
  4. Saint Clair Shores
  5. Surgery
  6. NPI Profile

PREMIER VASCULAR ASSOCIATES, PLLC
NPI 1972904951
Surgery - Vascular Surgery in Saint Clair Shores, MI

Active since September 10, 2014
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 270-5100(586) 270-5111 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Vascular Associates, Pllc NPPES

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

PREMIER VASCULAR ASSOCIATES, PLLC (NPI 1972904951) is a healthcare organization registered as a vascular surgery in Saint Clair Shores, Michigan and active in the NPI registry since September 2014. The organization lists Jimmy C Haouilou, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1972904951
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePREMIER VASCULAR ASSOCIATES, PLLC
Location Address29519 HARPER AVESaint Clair Shores, MI 48081-1275
Mailing Address29519 Harper AveSaint Clair Shores, MI 48081-1275 · (586) 270-5100 · Fax (586) 270-5111
Phone(586) 270-5100
Fax(586) 270-5111
Organization SubpartNo
Authorized OfficialJimmy C HaouilouSole Member · (586) 270-5100
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMay 18, 2015
✔ NPI 1972904951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301084691
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
29519 HARPER AVE, Saint Clair Shores, MI 48081
Open in Google Maps ↗

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 ›

Other Providers at the Same Location NPPES 4

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

LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-8140
PROFESSIONAL DIETITIAN SERVICES, LLC
Clinic/Center (Health Service)
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 234-3871
AMANDA ALAME R.D.
Dietitian, Registered
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 343-8717
ALEXANDRIA CONLEY GLENN M.D.
Surgery
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 343-8717

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 Premier Vascular Associates, PLLC's NPI number?

The NPI number for Premier Vascular Associates, PLLC is 1972904951. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Premier Vascular Associates, PLLC located?

Premier Vascular Associates, PLLC is located at 29519 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 270-5100.

What is Premier Vascular Associates, PLLC's specialty?

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

What insurance does Premier Vascular Associates, 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 Premier Vascular Associates, 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 Premier Vascular Associates, PLLC was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.