The Vein Institute, PC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

THE VEIN INSTITUTE, PC

Practice address

1405 Cowart St
Ste 321
Chattanooga, TN 37408-1127

Phone

(423) 551-8346

Fax

(423) 551-8347

NPI assigned

Dec 14, 2015

Last updated

Apr 14, 2016By 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

Vincent Wayne Gardner, MDNPI 1962476358

Title

Owner

Phone

(423) 551-8346

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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.

• Vincent Wayne Gardner, M.D.

  • Phlebology Physician
  • Chattanooga, TN
  • NPI 1962476358
  Medicare reassignment NPD Authorized official
• David Anthony Iannitti Sr., MD

  • Surgery Physician
  • Charlotte, TN
  • NPI 1447257332
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1437524683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 COWART ST",
            "address_2": "STE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081127",
            "telephone_number": "423-551-8346",
            "fax_number": "423-551-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COWART ST",
            "address_2": "STE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081127",
            "telephone_number": "423-551-8346",
            "fax_number": "423-551-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VEIN INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-551-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G700982",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Speech Language Reading Center, PLLC
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• The University of Tennessee at Chattanooga (UTC Student Health Services)
• The Vein Institute of Chattanooga, PLLC
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• The Weight Loss Center of Chattanooga PLLC
• The Wellness Center Pharmacy
• The Wellness Center Pharmacy, Inc.
• Mark C Thel, MD

• Phlebology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Phlebology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.