Organization Active NPI

Coastal Vein Solutions LLC

  • Vascular Surgery Physician
  • Savannah, GA
National Provider Identifier
1396076162
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COASTAL VEIN SOLUTIONS LLC
Practice address
11550 Abercorn St
Savannah, GA 31419-1902
Phone
(912) 920-8346
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. David V. Capallo, M.D.
Title
Owner
Phone
(912) 920-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

11550 Abercorn St
Savannah, GA 31419-1902

Mailing address

11550 Abercorn St
Savannah, GA 31419-1902
Phone (912) 920-8346

National Provider Directory

National Provider Directory

Locations

11550 Abercorn St
Savannah, GA 31419
Phone (912) 920-8346

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1396076162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191902",
            "telephone_number": "912-920-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191902",
            "telephone_number": "912-920-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VEIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "CAPALLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-920-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.