Carolina Vein Specialists, P.a.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CAROLINA VEIN SPECIALISTS, P.A.

Practice address

1130 New Garden Rd
Greensboro, NC 27410-3206

Phone

(336) 218-8346

Fax

(336) 218-0145

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael P. Krusch, M.D.NPI 1417083478

Title

President

Phone

(336) 218-8346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 18

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.

• Mark W Featherston, MD

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1073572533
  Medicare reassignment NPD
• Brent Geoffrey Greenberg, M.D.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1851369300
  Medicare reassignment NPD
• Michael P. Krusch, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1417083478
  Authorized official Same address or phone
• Stefanie Allen, RN

  • School Registered Nurse
  • Greensboro, NC
  • NPI 1194553644
  NPD
• Ashley Baquero, MD

  • Surgery Physician
  • Chapel Hill, NC
  • NPI 1417088808

  Vascular Surgery

  NPD (past)
• Tricia Croake, M.D.

  • Family Medicine Physician
  • Pinehurst, NC
  • NPI 1407859473
  NPD (past)
• David Gardner Draughn, MD FACS

  • Surgery Physician
  • Gastonia, NC
  • NPI 1336236090
  NPD (past)
• Lynda B McHutchison, MD

  • Obstetrics & Gynecology Physician
  • Durham, NC
  • NPI 1417136508

  Vascular Surgery

  NPD (past)
• Jenna Marie Patterson

  • Nurse Practitioner
  • Gastonia, NC
  • NPI 1831807775
  NPD (past)
• Paul S Putterman, MD

  • Phlebology Physician
  • Gastonia, NC
  • NPI 1548220619
  NPD (past)
• Jessie Sachs, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1780354068
  NPD (past)
• Elizabeth Carlyle White Trumbower, FNP

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1851746861
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861528812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103206",
            "telephone_number": "336-218-8346",
            "fax_number": "336-218-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103206",
            "telephone_number": "336-218-8346",
            "fax_number": "336-218-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VEIN SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-218-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Residential Care, Inc.
• Carolina Restorative Health, PLLC
• Carolina Sports, Spine & Wellness Center, PLLC
• Carolina Street Operating Company, LLC (Linden Place Center for Nursing and Rehabilitation)
• Carolina Surgical Arts PA
• Carolina Visions Family Care LLC
• Carolinas Fertility Institute
• Carolyns Choice
• Amelia Mathis Carothers
• David Roy Carpenter

• Vascular Surgery Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.