Organization Active NPI

Vascular Institute of the Pines, PLLC

  • Vascular Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1083363097
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 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
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Leah Bair HershmanNPI 1801020771
Title
Physician
Phone
(931) 434-7426

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220623001218 NC Part B Supplier - Clinic/Group Practice 0941689822 Receives reassigned benefits from 2 practitioners
Practice locations: Laurinburg, NC; Pinehurst, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.