Organization Active NPI

Doreen Saltiel, MD, PLLC

  • Phlebology Physician
  • Fort Smith, AR
National Provider Identifier
1104153394
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
E5746 Issued in AR
Legal business name
DOREEN SALTIEL, MD, PLLC
Practice address
12112 Highway 71 South
Fort Smith, AR 72916-8405
Phone
(479) 434-5350
Fax
(479) 434-5355
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Doreen Saltiel, MDNPI 1932355963
Title
Owner
Phone
(479) 434-5350

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
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X E5746 AR Primary

Addresses

Primary practice location

12112 Highway 71 South
Fort Smith, AR 72916-8405

Mailing address

12112 Highway 71 South
Fort Smith, AR 72916-8405
Phone (479) 434-5350

Other identifiers 2

IdentifierTypeStateIssuer
200272460AMedicaidOK
181110002MedicaidAR

Other names 1

  • Total Vein Care Doing business as

National Provider Directory

National Provider Directory

Locations

6400 Riley Park Dr
Fort Smith, AR 72916
Phone (479) 434-5350

12112 Highway 71 S
Fort Smith, AR 72916
Phone (479) 434-5350

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1104153394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 HIGHWAY 71 SOUTH",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168405",
            "telephone_number": "479-434-5350",
            "fax_number": "479-434-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 HIGHWAY 71 SOUTH",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168405",
            "telephone_number": "479-434-5350",
            "fax_number": "479-434-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOREEN SALTIEL, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "SALTIEL",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-434-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "AR",
            "license": "E5746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200272460A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181110002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Vein Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.