Organization Active NPI

Total Vein Solutions P.C

  • Vascular Surgery Physician
  • South Bend, IN
National Provider Identifier
1124553839
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01058854A Issued in IN
Legal business name
TOTAL VEIN SOLUTIONS P.C
Practice address
3015 Mishawaka Ave
South Bend, IN 46615-2347
Phone
(808) 341-7567
Fax
(808) 356-0424
NPI assigned
May 1, 2017
Last updated
May 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Dr. Jeffrey Borders, MDNPI 1861479941
Title
Owner
Phone
(808) 341-7567

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
Vascular Surgery Physician 2086S0129X 01058854A IN Primary

Addresses

Primary practice location

3015 Mishawaka Ave
South Bend, IN 46615-2347

Mailing address

PO Box 1289
Waianae, HI 96792-1289
Phone (808) 341-7567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608001518 IN Part B Supplier - Clinic/Group Practice 9436427812 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN; South Bend, IN; Mishawaka, IN; Elkhart, IN; Crown Point, IN

National Provider Directory

National Provider Directory

Locations

500 Arcade Ave
Elkhart, IN 46514
Phone (260) 296-6468

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

Practitioners & affiliated clinicians

Practitioners 1

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1124553839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921289",
            "telephone_number": "808-341-7567",
            "fax_number": "808-356-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152347",
            "telephone_number": "808-341-7567",
            "fax_number": "808-356-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VEIN SOLUTIONS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-341-7567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01058854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.