Atlantic Vein & Vascular Associates

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ATLANTIC VEIN & VASCULAR ASSOCIATES

Practice address

5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462

Phone

(757) 437-2882

Fax

(757) 502-8800

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fredrick N Southern, M.D.

Title

Managing Partner

Phone

(757) 437-2882

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2745/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Maria Clark, PA-C

  • Physician Assistant
  • Newport News, VA
  • NPI 1083066310
  NPD (past)
• Lynne Southern, CRNA

  • Certified Registered Nurse Anesthetist
  • Norfolk, VA
  • NPI 1801804620
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1194034363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-437-2882",
            "fax_number": "757-502-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-437-2882",
            "fax_number": "757-502-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC VEIN & VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "SOUTHERN",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "757-437-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlantic Surgical Assistants, Inc
• Atlantic Vision Care,PC
• Atria Senior Living Group, Inc
• Colleen Cooney Attaway, RN, BSN, IBCLC
• Attune Psychotherapy LLC
• Kierra Dashe Atwater Villines, MS. CCC-SLP

• Vascular Surgery Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.