Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Vascular, PC

Organization Surgery Physician · NPI 1205866274

Southeastern Vascular, PC is a Surgery Physician in Hyannis, Massachusetts. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Camp St
Hyannis, MA 02601-3007
Phone: (508) 775-1984
Fax: (508) 790-1897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Falmouth Rd Ste 102a, Mashpee, MA 02649-3363 — (508) 775-1984
  • 20 Indian Hill Road, West Tisbury, MA 02568 — (508) 775-1984

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1205866274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Ellinwood — Practice Manager · (508) 775-1984
Other names Southeastern Surgical Associates Pc
NPI enumeratedJuly 4, 2006
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021
Mailing address100 Camp St, Hyannis, MA 02601-3007

Other providers in Hyannis