Vein Center at Allure Medical Spa, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VEIN CENTER AT ALLURE MEDICAL SPA, PLLC

Doing business as

Vein Center At Allure Medcial Spa, PLLC

Practice address

369 Halton Rd
Greenville, SC 29607-3405

Phone

(800) 577-2570

Fax

(586) 992-2830

NPI assigned

Apr 20, 2018

Last updated

Jul 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

VEIN CENTER AT ALLURE MEDCIAL SPA, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Charles D Mok, DONPI 1235181876

Title

President

Phone

(586) 992-8300

Specialties & licenses 2

Addresses

Other names 1

• Vein Center At Allure Medcial Spa, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vein Center at Allure Medical Spa, PLLC

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1457302051

  O20180327002272

  Same enrollment

Part of

Vein Center at Allure Medical Spa PLLC

Locations

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.

• Charles D Mok, D.O.

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1235181876
  Authorized official Same address or phone
• Janilee King Busch, APRN

  • Family Nurse Practitioner
  • Easley, SC
  • NPI 1750740783
  NPD
• Will Godfrey, PA-C

  • Medical Physician Assistant
  • Clinton, SC
  • NPI 1861844979
  NPD
• Leigh Ann Romer, PA-C

  • Physician Assistant
  • Columbia, SC
  • NPI 1124158225
  NPD
• Robert Lee Ridgeway IV, PA-C

  • Dermatology Physician
  • Anderson, SC
  • NPI 1942616750
  NPD (past)
• Kathryn Hilovsky Thorne, PA-C, MPAS, MS

  • Physician Assistant
  • Greenville, SC
  • NPI 1548750003
  NPD (past)
• Traci Lynn Grossman, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1104072040
  NPD (past)
• Theresa Lynne Labranche, M.S. PA C

  • Medical Physician Assistant
  • Rochester, MI
  • NPI 1154438745
  NPD (past)
• Robert A Musson, MD

  • Family Medicine Physician
  • Fairlawn, OH
  • NPI 1669471462
  NPD (past)
• Jamie Peysakhov, P.A

  • Physician Assistant
  • Shelby Township, MI
  • NPI 1720389281
  NPD (past)
• Stephanie Ann Rey, R.N.C.,W.H.C.N.P.

  • Women's Health Nurse Practitioner
  • Shelby Township, MI
  • NPI 1508901968
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1336636786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-786-5900",
            "fax_number": "586-992-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073405",
            "telephone_number": "800-577-2570",
            "fax_number": "586-992-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Skylyn Dr # 340",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071047",
            "country_code": "US",
            "telephone_number": "800-577-2570",
            "fax_number": "586-992-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693457",
            "country_code": "US",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEIN CENTER AT ALLURE MEDICAL SPA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VEIN CENTER AT ALLURE MEDCIAL SPA, PLLC",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MOK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-992-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Center At Allure Medcial Spa, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Chandler Veasey, DO
• Venkatachalam Kumar Veerappan, M.D.
• Christopher Steven Vega, MD
• Sonya K Vehorn
• Betsy Veil, SLP
• Vein Center PA
• Michel Velez, MD
• Jena Velji-Ibrahim
• Ronald Gerard Veneskey
• Alana De Klerk Venter, MD

• Multi-Specialty Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.