NPIMap

Organization Active NPI

Abundant Life Vein Center, LLC

Doing business as Vein Centers for Excellence of Des Moines

  • Vascular Surgery Physician
  • West Des Moines, IA
National Provider Identifier
1700925526
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ABUNDANT LIFE VEIN CENTER, LLC
Doing business as
Vein Centers for Excellence of Des Moines
Practice address
1300 37TH St
Suite 3
West Des Moines, IA 50266-1900
Phone
(515) 223-0592
Fax
(515) 223-8316
NPI assigned
Feb 6, 2007
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Robert J Anderson, MDNPI 1588656243
Title
President
Phone
(515) 223-0592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

1300 37TH St
Suite 3
West Des Moines, IA 50266-1900

Mailing address

1300 37TH St
Suite 3
West Des Moines, IA 50266-1900
Phone (515) 223-0592

Other names 1

  • Vein Centers for Excellence of Des Moines Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1700925526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "SUITE 3",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-223-0592",
            "fax_number": "515-223-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "SUITE 3",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-223-0592",
            "fax_number": "515-223-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-0592",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Centers for Excellence of Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.