Superior Vein Care, PLLP

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SUPERIOR VEIN CARE, PLLP

Practice address

3277 E Louise Dr Ste 360
Meridian, ID 83642-9359

Phone

(208) 600-1550

Fax

(208) 600-1551

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Azul Cohlmia

Title

Chief Operating Officer

Phone

(208) 600-1550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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.

• Mark Macumber, MD

  • Phlebology Physician
  • Meridian, ID
  • NPI 1598805830
  Medicare reassignment
• Scott B Burnett, PA-C

  • Surgical Physician Assistant
  • Boise, ID
  • NPI 1295787240
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1609346303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E OVERLAND RD STE 2D",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429005",
            "telephone_number": "208-484-2431",
            "fax_number": "866-335-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR STE 360",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429359",
            "telephone_number": "208-600-1550",
            "fax_number": "208-600-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 E Overland Rd Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429005",
            "country_code": "US",
            "telephone_number": "208-484-2431",
            "fax_number": "866-335-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR VEIN CARE, PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "COHLMIA",
        "authorized_official_first_name": "AZUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "208-600-1550"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Family Health
• Sunbridge Healthcare LLC
• Hannah Sundali
• Sunrise Home Health of Idaho
• Emma Marie Sunshaw, PHD, LPC
• Surgery Center of Idaho LLC
• Surgical Center of TVH
• Marisue Susman, NP
• Rebekah M Svadlenka, NP
• SW Grant PC

• Vascular Surgery Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Vascular Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.