Maine Vein Center Associates, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

011098 Issued in ME

Legal business name

MAINE VEIN CENTER ASSOCIATES, LLC

Practice address

21 Northbrook Dr # B
Falmouth, ME 04105-1379

Phone

(207) 774-5479

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Desmond Donegan

Title

President

Phone

(207) 774-5479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1477830198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR # B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051379",
            "telephone_number": "207-774-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR # B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051379",
            "telephone_number": "207-774-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE VEIN CENTER ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "DONEGAN",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-5479",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "011098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Vascular Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.