Organization Active NPI

Nellestein Vein Institute LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Joseph, MO
National Provider Identifier
1841654423
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
NELLESTEIN VEIN INSTITUTE LLC
Practice address
1341 Village Dr
Saint Joseph, MO 64506-2457
Phone
(816) 291-4149
Fax
(816) 897-3969
NPI assigned
Apr 8, 2016
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Michael E. Nellestein, MDNPI 1104848662
Title
President/Owner
Phone
(816) 291-4149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MO Primary

Addresses

Primary practice location

1341 Village Dr
Saint Joseph, MO 64506-2457

Mailing address

1341 Village Dr
Saint Joseph, MO 64506-2457
Phone (816) 291-4149

Other identifiers 1

IdentifierTypeStateIssuer
1841654423MedicaidMO

National Provider Directory

National Provider Directory

Locations

1341 Village Dr
Saint Joseph, MO 64506
Phone (816) 291-4149

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13880/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1841654423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-291-4149",
            "fax_number": "816-897-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-291-4149",
            "fax_number": "816-897-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLESTEIN VEIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "NELLESTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "816-291-4149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841654423",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.