NPIMap

Organization Active NPI

Laura Ellis MD Skin Care and Vein Centre PLLC

  • Surgery Physician
  • Asheville, NC
National Provider Identifier
1699788463
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200301455 Issued in NC
Legal business name
LAURA ELLIS MD SKIN CARE AND VEIN CENTRE PLLC
Practice address
30 Town Square Blvd
Suite 218
Asheville, NC 28803-5066
Phone
(828) 684-1212
Fax
(828) 684-1103
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Laura B. Ellis, MD
Title
Owner
Phone
(828) 684-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 200301455 NC Primary

Addresses

Primary practice location

30 Town Square Blvd
Suite 218
Asheville, NC 28803-5066

Mailing address

30 Town Square Blvd
Suite 218
Asheville, NC 28803-5066
Phone (828) 684-1212

Other names 1

  • Asheville Vein Center, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

131 McDowell St
Ste 202
Asheville, NC 28801
Phone (828) 350-1580

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1699788463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD",
            "address_2": "SUITE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035066",
            "telephone_number": "828-684-1212",
            "fax_number": "828-684-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD",
            "address_2": "SUITE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035066",
            "telephone_number": "828-684-1212",
            "fax_number": "828-684-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA ELLIS MD SKIN CARE AND VEIN CENTRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-684-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "200301455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheville Vein Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.