Active NPI
USA Vein Clinics of Maryland LLC
- Vascular Surgery Physician
- Pikesville, MD
National Provider Identifier
1801696349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA VEIN CLINICS OF MARYLAND LLC
- Practice address
- 1809 Reisterstown Rd Ste 146C
Pikesville, MD 21208-6329 - Phone
- (410) 580-0057
- Fax
- (224) 235-4652
- NPI assigned
- Mar 14, 2025
- 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
- Ashley Jackson
- Title
- Manager
- Phone
- (323) 350-1204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1809 Reisterstown Rd Ste 146C
Pikesville, MD 21208-6329
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Phone (323) 350-1204
National Provider Directory
National Provider Directory- Tax ID family
- USA Vein Clinics of Maryland LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vascular Surgery Physician
- Rockville, MD
- NPI 1003616541
-
- Vascular Surgery Physician
- Lutherville Timonium, MD
- NPI 1104626647
-
- Vascular Surgery Physician
- Baltimore, MD
- NPI 1508666033
-
- Vascular Surgery Physician
- Columbia, MD
- NPI 1780484220
-
- Vascular Surgery Physician
- Annapolis, MD
- NPI 1972201879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1801696349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 WAINWRIGHT DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621900",
"telephone_number": "323-350-1204",
"fax_number": "224-235-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 REISTERSTOWN RD STE 146C",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086329",
"telephone_number": "410-580-0057",
"fax_number": "224-235-4652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA VEIN CLINICS OF MARYLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-350-1204"
},
"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 Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.