Organization Active NPI

Advanced Vein and Laser Center,Inc.

  • Vascular Surgery Physician
  • York, PA
National Provider Identifier
1710016787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD034655E Issued in PA
Legal business name
ADVANCED VEIN AND LASER CENTER,INC.
Practice address
191 Leaders Heights Rd
York, PA 17402-4735
Phone
(717) 741-2214
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Buchman Heird, M.D.NPI 1992769111
Title
President
Phone
(717) 741-2214

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD034655E PA Primary

Addresses

Primary practice location

191 Leaders Heights Rd
York, PA 17402-4735

Mailing address

191 Leaders Heights Rd
York, PA 17402-4735
Phone (717) 741-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070813000338 PA Part B Supplier - Clinic/Group Practice 2264523711 Receives reassigned benefits from 6 practitioners
Practice locations: York, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

191 Leaders Heights Rd
York, PA 17402
Phone (717) 741-2214

Practitioners & affiliated clinicians

Practitioners 9

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710016787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 LEADERS HEIGHTS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024735",
            "telephone_number": "717-741-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 LEADERS HEIGHTS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024735",
            "telephone_number": "717-741-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN AND LASER CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIRD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BUCHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-741-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD034655E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.