Organization Active NPI

Vein and Skin Care Specialists of Memphis PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1396885372
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000027297 Issued in TN
Legal business name
VEIN AND SKIN CARE SPECIALISTS OF MEMPHIS PC
Practice address
3960 Knight Arnold Rd
Suite 322
Memphis, TN 38118-3035
Phone
(901) 369-4949
Fax
(901) 369-6029
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Gregory Vandeven, MD
Title
Owner
Phone
(901) 369-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD0000027297 TN Primary

Addresses

Primary practice location

3960 Knight Arnold Rd
Suite 322
Memphis, TN 38118-3035

Mailing address

3960 Knight Arnold Rd
Suite 322
Memphis, TN 38118-3035
Phone (901) 369-4949

National Provider Directory

National Provider Directory

Locations

3960 Knight Arnold Rd
Ste 203
Memphis, TN 38118
Phone (301) 369-4770

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1396885372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-4949",
            "fax_number": "901-369-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-4949",
            "fax_number": "901-369-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN AND SKIN CARE SPECIALISTS OF MEMPHIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "VANDEVEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-369-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000027297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.