Vein Specialists of the North Shore LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VEIN SPECIALISTS OF THE NORTH SHORE LLC

Practice address

100 Cummings Center
Suite 110E
Beverly, MA 01915

Phone

(978) 922-8346

Fax

(978) 922-8345

NPI assigned

Aug 23, 2006

Last updated

Apr 19, 2011By 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

Allan I Hoffman, MD

Title

Treasurer

Phone

(978) 922-8346

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Vein Institute of the North Shore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vein Institute of the North Shore

  • Surgery Physician
  • Beverly, MA
  • NPI 1881671295
  NPD tax ID

Locations

Practitioners 4

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.

• Wei Du, MD

  • Vascular & Interventional Radiology Physician
  • Lowell, MA
  • NPI 1144214206
  NPD (past)
• Mark Girard, MD

  • Diagnostic Radiology Physician
  • Salem, MA
  • NPI 1134113228
  NPD (past)
• John Thomas Dooley, MD

  • Vascular Surgery Physician
  • Peoria, IL
  • NPI 1386625895
  NPD (past)
• Paul C Gryzenia, MD

  • Vascular & Interventional Radiology Physician
  • Troy, MI
  • NPI 1255325262
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1174630545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER",
            "address_2": "SUITE 110E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-922-8346",
            "fax_number": "978-922-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER",
            "address_2": "SUITE 110E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-922-8346",
            "fax_number": "978-922-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALISTS OF THE NORTH SHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "978-922-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738631",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110069857A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delena Marin Vanvalkenburg, MD
• Tracie Varela
• Albieris Vargas
• Chris Vecchio
• Vein Institute of the North Shore
• Ivan Krasimirov Velev, PT
• Christina Venditti
• Ximena D Venegas, DMD
• Thomas John Venti, D.C.
• Anna Ventura, LICSW

• Vascular & Interventional Radiology Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Vascular & Interventional Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.