Organization Active NPI

The Vein Center

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
National Provider Identifier
1104084599
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
E-2576 Issued in AR
Legal business name
THE VEIN CENTER
Practice address
11219 Financial Centre Pkwy
Suite 215
Little Rock, AR 72211-3800
Phone
(501) 225-8346
Fax
(501) 217-9819
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Michael J Long, M.D.
Title
Owner
Phone
(501) 225-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X E-2576 AR Primary

Addresses

Primary practice location

11219 Financial Centre Pkwy
Suite 215
Little Rock, AR 72211-3800

Mailing address

11219 Financial Centre Pkwy
Suite 215
Little Rock, AR 72211-3800
Phone (501) 225-8346

Other identifiers 1

IdentifierTypeStateIssuer
168208002MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1104084599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 215",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-225-8346",
            "fax_number": "501-217-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 215",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-225-8346",
            "fax_number": "501-217-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AR",
            "license": "E-2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168208002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.