Organization Active NPI

Michigan Vein Institute, P.C.

  • Phlebology Physician
  • Alpena, MI
National Provider Identifier
1689874414
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
4301050262 Issued in MI
Legal business name
MICHIGAN VEIN INSTITUTE, P.C.
Practice address
111 S 13TH Ave
Alpena, MI 49707-1609
Phone
(989) 358-8346
Fax
(989) 356-4916
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Peter Benson, M.D.
Title
President
Phone
(989) 358-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X 4301050262 MI Primary

Addresses

Primary practice location

111 S 13TH Ave
Alpena, MI 49707-1609

Mailing address

111 S 13TH Ave
Alpena, MI 49707-1609
Phone (989) 358-8346

National Provider Directory

National Provider Directory

Locations

111 S Thirteenth Ave
Alpena, MI 49707
Phone (989) 354-4289

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1689874414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-358-8346",
            "fax_number": "989-356-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-358-8346",
            "fax_number": "989-356-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN VEIN INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-358-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "MI",
            "license": "4301050262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.