Vascular and Vein Institute of the South, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Practice address

1355 W Brierbrook Rd
Germantown, TN 38138-2208

Phone

(901) 390-2930

NPI assigned

Apr 11, 2023

Last updated

Dec 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anton D Perera, MD

Title

Authorized Official

Phone

(901) 390-2930

Specialties & licenses 1

Addresses

Tax ID family

Vas and Vein Inst of the S4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Vascular and Vein Institute of the South, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1073396453
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Prosthetic/Orthotic Supplier
  • Bartlett, TN
  • NPI 1225735616
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Grenada, MS
  • NPI 1518652676
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prateek Kumar Gupta, MBBS

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1952555666
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1427743715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "ANTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "901-390-2930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ari M. Vanderwalde, M.D.
• Noam A Vanderwalde, MD
• Martha Jane Vandyck, DPH
• Anne Katherine Vanlandingham, MPT
• Vascular and Vein Institute of the South, PLLC
• Michelle Vasireddy, PA-C
• Catherine Alexander Vaughan, M.D.
• Paige Vazeii, PTA
• Pamela A Venegas, M.D.
• Brooke Veneklase, M.C.D.,CCC-SLP

• Vascular Surgery Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.