Vascular and Vein Institute of the South, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Practice address

312 S Rhodes St
West Memphis, AR 72301-4215

Phone

(901) 390-2930

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLCAs reported in NPPES

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

Authorized official

Name

Heather Noel

Title

Credentialing Specialist

Phone

(901) 390-2930

Specialties & licenses 1

Addresses

Part of

Vascular and Vein Institute of the South PLLC

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1669179065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "901-390-2930"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology Group PC
• Ut Pediatric Dentistry
• Raymond Valdes, M.D.
• Vicky D Valentine-Phillips, LCSW
• Jamie Juanita Vanhouten
• Kanaka Vasudevan, MD
• Robin Venzant
• Bailey Vieau
• Vip Cutz, Stylez & Hair Loss Solutions
• Vip Cutz, Stylez & Hair Loss Solutions

• Prosthetic/Orthotic Supplier in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.