Active NPI
Vein and Skin Care Specialists of Memphis PC
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1396885372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000027297
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.