Organization Active NPI

Michigan Vein and Wellness Center PLLC

  • Family Medicine Physician
  • Rockwood, MI
National Provider Identifier
1841831450
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHIGAN VEIN AND WELLNESS CENTER PLLC
Practice address
32429 Liparoto Dr
Rockwood, MI 48173-8609
Phone
(734) 379-0016
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Alexander Batchev, DO
Title
Authorized Official
Phone
(734) 379-0016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

32429 Liparoto Dr
Rockwood, MI 48173-8609

Mailing address

32429 Liparoto Dr
Rockwood, MI 48173-8609
Phone (734) 379-0016

Other identifiers 1

IdentifierTypeStateIssuer
5101012210OtherMIMI LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1841831450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32429 LIPAROTO DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481738609",
            "telephone_number": "734-379-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32429 LIPAROTO DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481738609",
            "telephone_number": "734-379-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN VEIN AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "BATCHEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-379-0016",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5101012210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.