Vein Center of Lake Norman PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VEIN CENTER OF LAKE NORMAN PA

Practice address

10215 Hickorywood Hill Ave
Suite B
Huntersville, NC 28078-3428

Phone

(704) 947-7027

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Moore

Title

Billing Manager

Phone

(512) 342-0455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1356531172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 HICKORYWOOD HILL AVE",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783428",
            "telephone_number": "704-947-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 HICKORYWOOD HILL AVE",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783428",
            "telephone_number": "704-947-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF LAKE NORMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-342-0455"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141KR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Vadakin-Salvati
• Julie Ann Vanhoy, PTA
• Jordan Ramsay Vanlandingham
• Amanda Marie Varghese, NP
• Robert D Vaughan, DDS
• Vein Centers for Excellence of Charlotte, Inc.
• Sandhya Ventrapragada, MD
• Village Run Inc.
• Vista Health and Wellness, P.a.
• Vital Care Transport Solutions LLC

• Vascular Surgery Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.