Organization Active NPI

Sandra V. Kristiansen, MD, PC

  • Phlebology Physician
  • Westborough, MA
National Provider Identifier
1093967077
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
75153 Issued in MA
Legal business name
SANDRA V. KRISTIANSEN, MD, PC
Practice address
176 E Main St
Suite 4
Westborough, MA 01581-1763
Phone
(508) 870-5900
Fax
(508) 870-5960
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Sandra V. Kristiansen, MD.NPI 1023198405
Title
President / Physician
Phone
(508) 870-5900

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 75153 MA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 75153 MA
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 75153 MA

Addresses

Primary practice location

176 E Main St
Suite 4
Westborough, MA 01581-1763

Mailing address

7 Reed Ave
Westborough, MA 01581-3643
Phone (508) 870-5900

Other names 1

  • Vein Clinic of New England Doing business as

National Provider Directory

National Provider Directory

Locations

176 E Main St
Ste 4
Westborough, MA 01581
Phone (425) 615-1623

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1093967077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REED AVE",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813643",
            "telephone_number": "508-870-5900",
            "fax_number": "508-870-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811763",
            "telephone_number": "508-870-5900",
            "fax_number": "508-870-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA V. KRISTIANSEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "KRISTIANSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "508-870-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MA",
            "license": "75153",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "75153",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "75153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Clinic of New England",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.