Vein Center MD, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2007-0000207 Issued in SC

Legal business name

VEIN CENTER MD, LLC

Practice address

870 Holly St
Orangeburg, SC 29115-4831

Phone

(803) 534-6550

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Sheppard Funderburk III

Title

Ceo

Phone

(803) 534-6550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1124218920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HOLLY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154831",
            "telephone_number": "803-534-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 HOLLY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154831",
            "telephone_number": "803-534-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "SHEPPARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-534-6550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "2007-0000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Paul Vandervinne, DO
• Robert A. Varn, DMD
• William Varn
• Veil Home Health and Hospice LLC (The Veil Home Care Service)
• Veil Home Health and Hospice, LLC (Veil Home Health and Hospice DME)
• Qwashema Shaylnn Venable, MA
• Virexion Labs
• Adrena Camille Void
• Dennis Ray Wade I
• Virginia Wagner, MD

• Medical Specialty Clinic/Center in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.