NPIMap

Organization Active NPI

Vein Center of Charlotte

  • Phlebology Physician
  • Charlotte, NC
National Provider Identifier
1588853865
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
9900407 Issued in NC
Legal business name
VEIN CENTER OF CHARLOTTE
Practice address
10502 Park Rd
Suite 120
Charlotte, NC 28210-8479
Phone
(704) 341-1122
NPI assigned
Oct 23, 2007
Last updated
Oct 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Dr. James Witten Altizer, MD, FACPHNPI 1194866095
Title
Physician/Owner
Phone
(704) 341-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 9900407 NC Primary

Addresses

Primary practice location

10502 Park Rd
Suite 120
Charlotte, NC 28210-8479

Mailing address

10502 Park Rd
Suite 120
Charlotte, NC 28210-8479
Phone (704) 341-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1588853865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 PARK RD",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108479",
            "telephone_number": "704-341-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 PARK RD",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108479",
            "telephone_number": "704-341-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "ALTIZER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WITTEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "704-341-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACPH"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NC",
            "license": "9900407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.