Active NPI
Raleigh Vein & Laser Center PA
- Vascular Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 200001800402
- Legal business name
- RALEIGH VEIN & LASER CENTER PA
- Practice address
- 2011 Falls Valley Dr Ste 104
Raleigh, NC 27615-3452 - Phone
- (919) 866-0002
- Fax
- (919) 866-0230
- NPI assigned
- Jan 2, 2008
- Last updated
- Jun 21, 2021
- 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
- Dr. Janice Hong Messier, M.D.
- Title
- Owner
- Phone
- (919) 866-0002
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 200001338614 | NC | |
| Vascular Surgery Physician | 2086S0129X | 200001800402 | NC | Primary |
Addresses
Primary practice location
2011 Falls Valley Dr Ste 104
Raleigh, NC 27615-3452
Mailing address
2011 Falls Valley Dr Ste 104
Raleigh, NC 27615-3452
Phone (919) 866-0002
Other practice location 1
10000 Falls Of Neuse Rd.
Suite 303
Raleigh, NC 27614
Phone (919) 866-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699836395 | Other | IND NPI | |
| 89136P2 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10000 Falls of Neuse Rd
Ste 303
Raleigh, NC 27614
Phone (919) 866-0002
2011 Falls Valley Dr
Raleigh, NC 27615
Phone (847) 736-4924
2011 Falls Valley Dr
Ste 104
Raleigh, NC 27615
Phone (919) 866-0002
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Vascular Surgery Physician
- Raleigh, NC
- NPI 1699836395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1104001742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 FALLS VALLEY DR STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153452",
"telephone_number": "919-866-0002",
"fax_number": "919-866-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 FALLS VALLEY DR STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153452",
"telephone_number": "919-866-0002",
"fax_number": "919-866-0230"
}
],
"practiceLocations": [
{
"address_1": "10000 Falls Of Neuse Rd.",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27614",
"country_code": "US",
"telephone_number": "919-866-0002",
"fax_number": "919-866-0230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RALEIGH VEIN & LASER CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2021-06-21",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "MESSIER",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "HONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-866-0002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "200001338614",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "200001800402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND NPI",
"identifier": "1699836395",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89136P2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.