Advanced Vascular Therapy LLC
NPI 1356726418ActiveOrganization· Surgery, Vascular Surgery· Salem, OR
Surgery, Vascular Surgery in Salem, Oregon, registered in NPPES in July 2015. The authorized official on file is Glen S. Roseborough, M.D., Director.
Overview
| NPI | 1356726418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2015 |
| Last updated in NPPES | Nov 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | MD150190 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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