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Southeastern Vascular, P.C.

Vascular Surgery Physician in Hyannis, MA · enumerated 2006 · authorized official Lynn Ellinwood, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205866274

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Vascular, P.C.
Other name <Unavail>
Practice address 100 Camp St, Hyannis, MA, 02601
Phone (508) 775-1984
Fax (508) 790-1897
Enumeration date Jul 4, 2006
Last updated in NPPES Aug 30, 2021

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lynn Ellinwood
Title Practice Manager
Phone (508) 775-1984

Other identifiers

Identifier Type State Issuer
9776605 Medicaid MA —
SOM16224 Other MA BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southeastern Vascular, P.C.?
Southeastern Vascular, P.C. is registered in NPPES as a Vascular Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-30.