Active NPI
American Vein Institute LLC
- Vascular Surgery Physician
- Fort Wayne, IN
National Provider Identifier
1487196424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- AMERICAN VEIN INSTITUTE LLC
- Practice address
- 10020 Dupont Circle CT Ste 140
Fort Wayne, IN 46825-1621 - Phone
- (260) 418-2427
- Fax
- (260) 489-4188
- NPI assigned
- Nov 8, 2016
- Last updated
- Nov 8, 2016
- 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
- David Li, MD
- Title
- Owner
- Phone
- (260) 418-2427
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Vascular Surgery Physician | 2086S0129X | NU | Primary |
Addresses
Primary practice location
10020 Dupont Circle CT Ste 140
Fort Wayne, IN 46825-1621
Mailing address
10020 Dupont Circle CT Ste 140
Fort Wayne, IN 46825-1621
Phone (260) 418-2427
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1770692337
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1922117571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478563200000",
"number": "1487196424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10020 DUPONT CIRCLE CT STE 140",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251621",
"telephone_number": "260-418-2427",
"fax_number": "260-489-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10020 DUPONT CIRCLE CT STE 140",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251621",
"telephone_number": "260-418-2427",
"fax_number": "260-489-4188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN VEIN INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-418-2427",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- American Oncology Partners, P.a. (Fort Wayne Medical Oncology and Hematology)
- American Oncology Partners, P.a.
- American Oncology Partners, P.a. (Fort Wayne Medical Oncology and Hematology)
- American Oncology Partners, P.a.
- American Oncology Partners, P.a. (Fort Wayne Medical Oncology And Hematology)
- Deborah Louise Amick, L.C.S.W.
- Aakash Amin
- Yogeshchandra M. Amin, M.D.
- Ohlashia Marie Aminy
- Amk Home Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.