Active NPI
Restoration Vein Care, PLC
- Vascular Surgery Physician
- Ypsilanti, MI
National Provider Identifier
1063459659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- RESTORATION VEIN CARE, PLC
- Practice address
- 5333 McAuley Dr
Suite 4016
Ypsilanti, MI 48197-1014 - Phone
- (734) 712-4310
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael J. Heidenreich, MD
- Title
- Authorized Signer
- Phone
- (734) 712-4310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
5333 McAuley Dr
Suite 4016
Ypsilanti, MI 48197-1014
Mailing address
5333 McAuley Dr
Suite 4016
Ypsilanti, MI 48197-1014
Phone (734) 712-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H113610 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5320 Elliott Dr
Rm E162
Ypsilanti, MI 48197
Phone (734) 712-1313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Ypsilanti, MI
- NPI 1588617807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468972800000",
"number": "1063459659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "SUITE 4016",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "SUITE 4016",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION VEIN CARE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2016-07-20",
"status": "A",
"authorized_official_last_name": "HEIDENREICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "AUTHORIZED SIGNER",
"authorized_official_telephone_number": "734-712-4310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0H113610",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.