Vein Specialties, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

31062 Issued in AZ

Legal business name

VEIN SPECIALTIES, LLC

Practice address

242 Whipple St
Prescott, AZ 86301-1787

Phone

(928) 778-0808

Fax

(928) 778-4788

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Robin M Fleck, MD

Title

Owner

Phone

(928) 778-0808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1720249972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011787",
            "telephone_number": "928-778-0808",
            "fax_number": "928-778-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011787",
            "telephone_number": "928-778-0808",
            "fax_number": "928-778-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-778-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "31062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage Cancer Care Network of Arizona, S.C.
• Candy Lyn Varaksin, RRT
• Clyde R Varner, MD
• Terry Anne Vaughan, MD
• Rosemarie S Vedda, PA-C
• Adam John Vellturo, MSW
• Velv, LLC
• Elisa Ann Venezia, RN, RNFA
• Taytum Rae Vermilyea, PA-C
• Chad Jason Vernon, OT

• Medical Specialty Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.