NPIMap

Organization Active NPI

Mission Hospital, Inc.

Doing business as The Vein Specialist of Carolina Vascular

  • Vascular Surgery Physician
  • Arden, NC
National Provider Identifier
1114460128
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MISSION HOSPITAL, INC.
Doing business as
The Vein Specialist of Carolina Vascular
Practice address
310 Long Shoals Rd
First Floor
Arden, NC 28704-8794
Phone
(828) 213-9090
Fax
(828) 213-9091
NPI assigned
Nov 22, 2016
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
William Hathaway, MD
Title
Cmo
Phone
(828) 213-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

310 Long Shoals Rd
First Floor
Arden, NC 28704-8794

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-1500

Other names 1

  • The Vein Specialist of Carolina Vascular Doing business as

National Provider Directory

National Provider Directory

Locations

310 Long Shoals Rd
Fl First
Arden, NC 28704
Phone (828) 213-9090

Practitioners & affiliated clinicians

Practitioners 8

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1114460128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LONG SHOALS RD",
            "address_2": "FIRST FLOOR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048794",
            "telephone_number": "828-213-9090",
            "fax_number": "828-213-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "828-213-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vein Specialist of Carolina Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.