Active NPI
Vein Specialists of North Carolina, PA
- Surgery Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- VEIN SPECIALISTS OF NORTH CAROLINA, PA
- Practice address
- 6752 Rock Spring Road
Suite #200
Wilmington, NC 28405 - Phone
- (910) 798-5347
- Fax
- (910) 763-6570
- NPI assigned
- Jul 3, 2007
- Last updated
- Mar 16, 2022
- 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
- Cynthia Jones
- Title
- Credentialing
- Phone
- (630) 725-2737
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6752 Rock Spring Road
Suite #200
Wilmington, NC 28405
Mailing address
2015 Spring Rd Ste 300
Oak Brook, IL 60523-3944
Phone (630) 725-2700
Other practice location 1
206 Joe Knox Ave Ste H
Mooresville, NC 28117-7912
Phone (704) 684-4511
Other practice location 2
232 Crossroads Blvd
Cary, NC 27518-6893
Phone (919) 859-1276
Other practice location 3
326 S Sharon Amity Rd
Charlotte, NC 28211-2806
Phone (704) 442-2400
Other practice location 4
20 Medical Campus Dr NW Ste 207
Supply, NC 28462-4094
Phone (910) 755-5253
Other names 1
- Kamran Goudarzi, MD, PA
National Provider Directory
National Provider DirectoryLocations
232 Crossroads Blvd
Cary, NC 27518
Phone (919) 859-1276
417 Vance St
Clinton, NC 28328
Phone (910) 590-1049
34 Office Park Dr
Ste 300
Jacksonville, NC 28546
Phone (910) 769-4511
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Physician Assistant
- Wilmington, NC
- NPI 1477511848
-
- Dermatology Physician
- Wilmington, NC
- NPI 1780999805
-
- Physician Assistant
- Wilmington, NC
- NPI 1871550061
-
- Physician Assistant
- Wilmington, NC
- NPI 1629297411
-
- Physician Assistant
- Supply, NC
- NPI 1245206341
-
- Dermatology Physician
- Wilmington, NC
- NPI 1154578797
-
- Physician Assistant
- Raleigh, NC
- NPI 1043028830
-
- MOHS-Micrographic Surgery Physician
- Wilmington, NC
- NPI 1831330893
-
- Dermatology Physician
- Wilmington, NC
- NPI 1992020549
-
- Physician Assistant
- Wilmington, NC
- NPI 1730337130
-
- Nurse Practitioner
- Wilmington, NC
- NPI 1306312277
-
- MOHS-Micrographic Surgery Physician
- Hicksville, NY
- NPI 1922494095
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1124225057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 SPRING RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605233944",
"telephone_number": "630-725-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6752 ROCK SPRING ROAD",
"address_2": "SUITE #200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28405",
"telephone_number": "910-798-5347",
"fax_number": "910-763-6570"
}
],
"practiceLocations": [
{
"address_1": "206 Joe Knox Ave Ste H",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281177912",
"country_code": "US",
"telephone_number": "704-684-4511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Crossroads Blvd",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275186893",
"country_code": "US",
"telephone_number": "919-859-1276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "326 S Sharon Amity Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282112806",
"country_code": "US",
"telephone_number": "704-442-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Medical Campus Dr NW Ste 207",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624094",
"country_code": "US",
"telephone_number": "910-755-5253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VEIN SPECIALISTS OF NORTH CAROLINA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "630-725-2737"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kamran Goudarzi, MD, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.