Organization Active NPI

Varicose Vein Treatment Center

  • Phlebology Physician
  • Louisville, KY
National Provider Identifier
1447509781
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VARICOSE VEIN TREATMENT CENTER
Practice address
3901 Dutchman's Lane
Suite 202
Louisville, KY 40207-4722
Phone
(502) 897-1010
Fax
(502) 897-1008
NPI assigned
Aug 31, 2012
Last updated
Aug 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Kent A Beams, MD
Title
Owner
Phone
(812) 325-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X Primary

Addresses

Primary practice location

3901 Dutchman's Lane
Suite 202
Louisville, KY 40207-4722

Mailing address

3901 Dutchman's Lane
Suite 202
Louisville, KY 40207-4722
Phone (502) 897-1010

National Provider Directory

National Provider Directory
Tax ID family
Varicose Vein Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1447509781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMAN'S LANE",
            "address_2": "SUITE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074722",
            "telephone_number": "502-897-1010",
            "fax_number": "502-897-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMAN'S LANE",
            "address_2": "SUITE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074722",
            "telephone_number": "502-897-1010",
            "fax_number": "502-897-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE VEIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-325-2341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.