Organization Active NPI

Vein Wellness Clinic, PLLC

  • Nephrology Physician
  • Aliquippa, PA
National Provider Identifier
1326558255
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD436242 Issued in PA
Legal business name
VEIN WELLNESS CLINIC, PLLC
Practice address
2020 Main St
Aliquippa, PA 15001
Phone
(412) 420-9513
NPI assigned
Oct 5, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Elias Belay Bahta, MA
Title
Owner
Phone
(724) 788-1567

National Provider Directory

National Provider Directory

Locations

600 Old Pond Rd
Bridgeville, PA 15017

1677A Route 65
Ellwood City, PA 16117

1677 Route 65
#A
Ellwood City, PA 16117
Phone (412) 533-2202

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 201097 LA
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MD436242 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2020 Main St
Aliquippa, PA 15001

Mailing address

600 Old Pond Rd
Bridgeville, PA 15017-1273
Phone (724) 203-0579

Other names 1

NPPES NPI Registry
  • Aliquippa Vein Clinic, PLLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2018.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1326558255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD POND RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171273",
            "telephone_number": "724-203-0579",
            "fax_number": "724-203-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MAIN ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "15001",
            "telephone_number": "412-420-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "BAHTA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "BELAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-788-1567",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201097",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD436242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aliquippa Vein Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aliquippa Vein Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.