Organization Active NPI

Vein Center PA

  • Phlebology Physician
  • Greenville, SC
National Provider Identifier
1518984418
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VEIN CENTER PA
Practice address
242 Adley Way
Greenville, SC 29607-6511
Phone
(864) 297-1244
Fax
(864) 297-1277
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
David Gerald Stone, MD
Title
Physician
Phone
(864) 297-1244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

242 Adley Way
Greenville, SC 29607-6511

Mailing address

P O Box 65169
Charlotte, NC 28265-5169
Phone (803) 808-8070

Other identifiers 1

IdentifierTypeStateIssuer
GP4624MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1518984418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 65169",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282655169",
            "telephone_number": "803-808-8070",
            "fax_number": "803-808-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-297-1244",
            "fax_number": "864-297-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-297-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4624",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.