{"npi":"1598037822","type":"NPI-2","status":"active","name":{"display":"Preferred Vascular Services Northwest, LLC","other":[],"organization_name":"PREFERRED VASCULAR SERVICES NORTHWEST, LLC","authorised_official":"Jennifer Baldock"},"specialty":{"primary_taxonomy":"2086S0129X","primary_taxonomy_description":"Vascular Surgery Physician","slug":"vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":null,"license":null},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"711 CANTON RD NE STE 220","city":"MARIETTA","state":"GA","postal_code":"300608949","country_code":"US","phone":"4045542196","fax":"4045972313"},{"purpose":"MAILING","street_1":"9140 CORSEA DEL FONTANA WAY","city":"NAPLES","state":"FL","postal_code":"341094397","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120413000013","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"1850552142"}]},"enumeration_date":"2012-02-01","last_updated":"2026-02-06","_meta":{"source":"NPPES","snapshot_date":"2026-02-06","doc_url":"https://findmynpi.com/api"}}