South Bend Vein Center for Excelllence, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

01030418A Issued in IN

Legal business name

SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC

Doing business as

Southg Bend Vein Center,LLC

Practice address

2025 Edison Rd
South Bend, IN 46637-5599

Phone

(574) 232-5831

Fax

(574) 968-0120

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Oren, M.D.

Title

Physician

Phone

(574) 232-5831

Specialties & licenses 1

Addresses

Other names 1

• Southg Bend Vein Center,LLC Doing business as

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1649468364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 EDISON RD",
            "address_2": "SUITE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466375599",
            "telephone_number": "574-232-5831",
            "fax_number": "574-968-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EDISON RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466375599",
            "telephone_number": "574-232-5831",
            "fax_number": "574-968-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "OREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "574-232-5831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01030418A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southg Bend Vein Center,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular Surgery Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.