Provider Demographics
NPI:1467220426
Name:ASCENT VASCULAR SPECIALISTS AND VEIN CENTER, PLLC
Entity Type:Organization
Organization Name:ASCENT VASCULAR SPECIALISTS AND VEIN CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIPORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-369-1380
Mailing Address - Street 1:1300 N FRONTAGE RD W # 4994
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-9998
Mailing Address - Country:US
Mailing Address - Phone:970-926-1003
Mailing Address - Fax:970-569-2541
Practice Address - Street 1:1140 EDWARDS VILLAGE BLVD UNIT B204
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5562
Practice Address - Country:US
Practice Address - Phone:970-926-1003
Practice Address - Fax:970-569-2541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty