Vascular Institute of the Pines, PLLC

Key facts

NPI: 1083363097
Entity type: Organization (NPI type 2)
Primary specialty: Vascular Surgery Physician 2086S0129X
Legal business name: VASCULAR INSTITUTE OF THE PINES, PLLC
Practice address: 6 Regional Dr Ste C
Pinehurst, NC 28374-9868
Phone: (910) 338-3381
Fax: (910) 226-0197
NPI assigned: Mar 18, 2022
Organization subpart: No

Authorized official

Name: Leah Bair Hershman NPI 1801020771
Title: Physician
Phone: (931) 434-7426

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Leah Bair Hershman, D.O. Vascular Surgery Physician · Pinehurst, NC · NPI 1801020771

Medicare reassignment Care Compare group NPD Authorized official NC · VASCULAR SURGERY
Adriane Nicole Arnold, PA-C Physician Assistant · Syracuse, NY · NPI 1306184403

Medicare reassignment Care Compare group NPD NC

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220623001218	NC	Part B Supplier - Clinic/Group Practice	0941689822	Receives reassigned benefits from 2 practitioners Practice locations: Laurinburg, NC; Pinehurst, NC

National Provider Directory

Locations

6 Regional Dr
Ste C
Pinehurst, NC 28374
Phone (910) 255-0079

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Vascular Surgery Physician Group: 193400000X SINGLE SPECIALTY GROUP	2086S0129X			Yes

Addresses

Primary practice location

6 Regional Dr Ste C
Pinehurst, NC 28374-9868

Mailing address

6 Regional Dr Ste C
Pinehurst, NC 28374-9868
Phone (910) 338-3381

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2022.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1083363097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 REGIONAL DR STE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749868",
            "telephone_number": "910-338-3381",
            "fax_number": "910-226-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 REGIONAL DR STE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749868",
            "telephone_number": "910-338-3381",
            "fax_number": "910-226-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF THE PINES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "HERSHMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "BAIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-434-7426"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

All providers in Pinehurst, NC · Vascular Surgery Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.