Organization Active NPI

Palm Beach Vascular & Vein Associates LLC

  • Vascular Surgery Physician
  • Jupiter, FL
National Provider Identifier
1336650522
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME124176 Issued in FL
Legal business name
PALM BEACH VASCULAR & VEIN ASSOCIATES LLC
Practice address
1004 S Old Dixie Hwy Ste 303
Jupiter, FL 33458-7200
Phone
(561) 244-9980
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Dr. Hue Thai, MDNPI 1730333071
Title
Surgeon
Phone
(561) 244-9980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME124176 FL Primary

Addresses

Primary practice location

1004 S Old Dixie Hwy Ste 303
Jupiter, FL 33458-7200

Mailing address

5005 SW Saint Creek Dr
Palm City, FL 34990-8816
Phone (541) 244-9980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1336650522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SW SAINT CREEK DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908816",
            "telephone_number": "541-244-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S OLD DIXIE HWY STE 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587200",
            "telephone_number": "561-244-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH VASCULAR & VEIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "HUE",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "561-244-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME124176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.