Varicose Vein Treatment Center

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

VARICOSE VEIN TREATMENT CENTER

Practice address

3209 W Fullerton Pike
Suite C
Bloomington, IN 47403-4060

Phone

(812) 325-2341

NPI assigned

Aug 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kent A Beams, MD

Title

Owner

Phone

(812) 325-2341

Specialties & licenses 1

Addresses

Tax ID family

Varicose Vein Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Varicose Vein Treatment Center

  • Phlebology Physician
  • Louisville, KY
  • NPI 1447509781
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1033466495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W FULLERTON PIKE",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034060",
            "telephone_number": "812-325-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W FULLERTON PIKE",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034060",
            "telephone_number": "812-325-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE VEIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-325-2341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage Point, Inc.
• Alyssa Vanwerden, OD
• Aspen Varela, RBT
• Bonnie Vargas
• Donna Vargas, MPT
• Vascular Center & Vein Clinic of Southern Indiana
• Ricardo Vasquez, MD
• Ellen Vaughan, PH.D.
• Hannah Vaughan, RD, IBCLC
• Sierra Paige Vaught

• Phlebology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Phlebology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.