Active NPI
USA Vein Clinics of Charleston LLC
- Vascular Surgery Physician
- Mt Pleasant, SC
National Provider Identifier
1740936285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA VEIN CLINICS OF CHARLESTON LLC
- Practice address
- 1280 Hospital Dr Unit 100
Mt Pleasant, SC 29464-1901 - Phone
- (847) 593-8460
- NPI assigned
- Feb 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Zhadkevich, MD
- Title
- Owner
- Phone
- (864) 680-2568
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1280 Hospital Dr Unit 100
Mt Pleasant, SC 29464-1901
Mailing address
PO Box 1602
Northbrook, IL 60065-1602
Phone (847) 593-8460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4999 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (330) 327-6485
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Johns Island, SC
- NPI 1598724882
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1134150501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1740936285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1602",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600651602",
"telephone_number": "847-593-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 HOSPITAL DR UNIT 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294641901",
"telephone_number": "847-593-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA VEIN CLINICS OF CHARLESTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-23",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "ZHADKEVICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-680-2568",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.