Salem Vascular, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SALEM VASCULAR, PC

Practice address

1535 Liberty St SE
Salem, OR 97302-4345

Phone

(503) 371-8346

Fax

(503) 371-8334

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Rick D Pittman, MD

Title

Owner

Phone

(503) 371-8346

Specialties & licenses 1

Addresses

Other names 1

• Salem Vein & Aesthetics Center Doing business as

Locations

Practitioners 2

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

• Mark Steven Peterson, MD

  • Vascular Surgery Physician
  • Salem, OR
  • NPI 1003980053
  NPD (past)
• Patricia Lorraine Stupfel, ANP

  • Nurse Practitioner
  • Salem, OR
  • NPI 1326112178
  NPD (past)

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1831411560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-371-8346",
            "fax_number": "503-371-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-371-8346",
            "fax_number": "503-371-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM VASCULAR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-371-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Vein & Aesthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salem Rheumatology, LLC
• Salem Sleep Medicine, PC
• Salem Surgery Center, LLC
• Salem Travel Clinic, LLC
• Salem Vascular Consultants, LLP
• Salem West of Cascadia, LLC
• Salem Womens Clinic, Inc
• Salem Womens Clinic, Inc
• Salemtowne Dental LLC
• Laura Esther Salgado

• Vascular Surgery Physician in Salem, OR
• Providers in Salem, OR by specialty
• Vascular Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.