NPIMap

Organization Active NPI

Advanced Cardiovascular & Vein Center

  • Specialist
  • Jackson, TN
National Provider Identifier
1164759189
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70679 Issued in FL
Legal business name
ADVANCED CARDIOVASCULAR & VEIN CENTER
Practice address
1340 Union University Dr
Jackson, TN 38305-3780
Phone
(731) 215-1281
Fax
(731) 215-1248
NPI assigned
Nov 11, 2009
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Alexander Alperovich, M.D.NPI 1922096221
Title
Physcian/Owner
Phone
(731) 215-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME70679 FL Primary

Addresses

Primary practice location

1340 Union University Dr
Jackson, TN 38305-3780

Mailing address

1340 Union University Dr
Jackson, TN 38305-3780
Phone (731) 215-1281

Other identifiers 1

IdentifierTypeStateIssuer
31957OtherFLMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

1700 Woodlawn Ave
Ste A
Dyersburg, TN 38024
Phone (731) 215-1281

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1164759189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053780",
            "telephone_number": "731-215-1281",
            "fax_number": "731-215-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053780",
            "telephone_number": "731-215-1281",
            "fax_number": "731-215-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR & VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ALPEROVICH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSCIAN/OWNER",
        "authorized_official_telephone_number": "731-215-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "31957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.