Vascular and Vein Institute of the South, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Practice address

7400 US Highway 64
Bartlett, TN 38133-3904

Phone

(901) 390-2930

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLCAs reported in NPPES

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

Authorized official

Name

Heather Noel

Title

Credentialing Specialist

Phone

(561) 312-1082

Specialties & licenses 1

Addresses

Tax ID family

Vas and Vein Inst of the S4 organizations share this tax ID, including this one

Part of

Vas and Vein Inst of the S

Other organizations with this tax ID 3

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

• Vascular and Vein Institute of the South, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1073396453
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1427743715
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Grenada, MS
  • NPI 1518652676
  NPD tax ID

Locations

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.

• Prateek Kumar Gupta, MBBS

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1952555666
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1225735616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 US HIGHWAY 64",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381333904",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-312-1082"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ut Medical Group, Inc.
• Angela Renee Uta, AGACNP-BC
• Vam PLLC
• Lindsey Marie Van Fossen
• Richard John Vansickle, DDS
• Sarah Veazey, PHARM D
• Verzosa Ungab Internal Medicine
• Samuel Tadiar Verzosa, MD
• Christopher Vickers
• Victorious Family Care Center

• Prosthetic/Orthotic Supplier in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.