Organization Active NPI

Veinology Health

  • Vascular Surgery Physician
  • Springfield, TN
National Provider Identifier
1093685083
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VEINOLOGY HEALTH
Practice address
417 Northcrest Dr
Springfield, TN 37172-3973
Phone
(888) 783-0111
Fax
(888) 783-0377
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Mark S Sanders, MDNPI 1265495303
Title
Owner
Phone
(888) 783-0111

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 Physician 2086S0129X NU Primary

Addresses

Primary practice location

417 Northcrest Dr
Springfield, TN 37172-3973

Mailing address

140 E Professional Park CT Ste 101
Bowling Green, KY 42104
Phone (888) 783-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260106002429 TN Part B Supplier - Clinic/Group Practice 0941796346 Receives reassigned benefits from 2 practitioners
Practice locations: Dickson, TN; Hendersonville, TN; Springfield, TN
O20260123002675 KY Part B Supplier - Clinic/Group Practice 0941796346 Receives reassigned benefits from 2 practitioners
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

140 E Professional Park Ct
#101
Bowling Green, KY 42104
Phone (888) 783-0111

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": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1093685083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E PROFESSIONAL PARK CT STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "888-783-0111",
            "fax_number": "888-783-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723973",
            "telephone_number": "888-783-0111",
            "fax_number": "888-783-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINOLOGY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-783-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.