Vein Center and Medical Spa

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VEIN CENTER AND MEDICAL SPA

Practice address

4020 Copper VW Ste 212
Traverse City, MI 49684-7041

Phone

(231) 941-7500

Fax

(231) 941-7509

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

David Amalfitano, M.D.NPI 1386646636

Title

President

Phone

(231) 941-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amalfi, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• David J Amalfitano, D.O.

  • Vascular Surgery Physician
  • Traverse City, MI
  • NPI 1386646636
  Medicare reassignment NPD Authorized official
• Kerry M Day-Krusniak, M.D.

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1477632842
  NPD (past)
• Brad E Vazales, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Petoskey, MI
  • NPI 1366495285
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1740358209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW",
            "address_2": "SUITE 212",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847098",
            "telephone_number": "231-941-7500",
            "fax_number": "231-940-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW STE 212",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847041",
            "telephone_number": "231-941-7500",
            "fax_number": "231-941-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER AND MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "AMALFITANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-941-7500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5281088",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amalfi, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Michael Vanwingen, D.D.S., M.S.
• Karri Elizabeth Vaughan, PA-C
• Chelsea Lea Vaughn
• Catherine Ann Veeser, PT
• Madeline Vegh
• Gail Venner, NP
• Kyle Reece Ver Steeg II, MD
• Kayla Vermeer
• Alyssa M Vermeulen, DO
• Marcy Verplanck-Kanitz, DO

• Vascular Surgery Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.