Provider Demographics
NPI:1780634428
Name:GENERAL VASCULAR &TRANSPLANT SURGERY PC
Entity Type:Organization
Organization Name:GENERAL VASCULAR &TRANSPLANT SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CASS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-643-8770
Mailing Address - Street 1:1111 6TH AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2613
Mailing Address - Country:US
Mailing Address - Phone:515-643-6302
Mailing Address - Fax:515-643-8772
Practice Address - Street 1:1111 6TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2613
Practice Address - Country:US
Practice Address - Phone:515-643-6302
Practice Address - Fax:515-643-8772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0276907Medicaid
IA0276907Medicaid