Active NPI
Vein Institute of the North Shore
- Surgery Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- VEIN INSTITUTE OF THE NORTH SHORE
- Practice address
- 100 Cummings Ctr
Beverly, MA 01915-6115 - Phone
- (978) 922-8346
- NPI assigned
- Dec 28, 2005
- Last updated
- Aug 22, 2020
- 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
- Mark Girard, MD
- Title
- President
- Phone
- (800) 927-0002
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr
Beverly, MA 01915-6115
Mailing address
PO Box 9137
Brookline, MA 02446-9137
Phone (800) 927-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9738631 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Vein Institute of the North Shore
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vascular & Interventional Radiology Physician
- Beverly, MA
- NPI 1174630545
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.
-
- Diagnostic Radiology Physician
- Salem, MA
- NPI 1134113228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881671295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9137",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469137",
"telephone_number": "800-927-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-922-8346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN INSTITUTE OF THE NORTH SHORE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIRARD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-927-0002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9738631",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.