Vein Institute of South Mississippi PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VEIN INSTITUTE OF SOUTH MISSISSIPPI PLLC

Practice address

6169 U S Highway 98
Hattiesburg, MS 39402-8631

Phone

(601) 335-8368

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

John Keith Thompson, DONPI 1962511212

Title

Owner

Phone

(601) 467-5340

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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.

• John K Thompson, DO

  • General Practice Physician
  • Hattiesburg, MS
  • NPI 1962511212

  Vascular Surgery

  Medicare reassignment NPD Authorized official
• Alicia Pace

  • Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1871145714
  Medicare reassignment NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1548928443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028631",
            "telephone_number": "601-335-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028631",
            "telephone_number": "601-335-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN INSTITUTE OF SOUTH MISSISSIPPI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-467-5340",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE - MISSISSIPPI MOTOR VEHICLE COMMISSION",
            "identifier": "800456806",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE",
            "identifier": "19031",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DRT@VEINSMS.COM",
            "affiliation": "N",
            "address_1": "6169 U S Highway 98",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394028631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Gabriel Vanderloo, DO
• Dewanna Renee Varnado, DMD
• Sorinthia Varnell, LPC
• Louis Varner, MD
• Elizabeth Vaughan
• Benito Velasquez, ATC LAT
• Hernando Velez, M.D.
• Juan Velez, Jr, M.D.
• Vena Healthcare
• Ana Valeria Vera-Sotomayor, M.D.

• Vascular Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Vascular Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.