Restore Vein and Wellness, LLC

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

Legal business name

RESTORE VEIN AND WELLNESS, LLC

Practice address

2010 Patton Chapel Rd Ste 102
Vestavia Hills, AL 35216-5783

Phone

(205) 208-9001

Fax

(205) 208-0031

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By 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

Mrs. Lynne E. Marston

Title

Practice Manager

Phone

(205) 208-9001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 3

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.

• Thomas Wade Martin, MD

  • Interventional Pain Medicine Physician
  • Hoover, AL
  • NPI 1558551127
  Medicare reassignment NPD
• Taylor Sanders Scruggs

  • Pain Medicine (Anesthesiology) Physician
  • Spanish Fort, AL
  • NPI 1992159578
  Medicare reassignment NPD
• Richard Brian Thoma, MD

  • Interventional Pain Medicine Physician
  • Birmingham, AL
  • NPI 1437371994
  Medicare reassignment NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1891278990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD STE 102",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165783",
            "telephone_number": "205-208-9001",
            "fax_number": "205-208-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD STE 102",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165783",
            "telephone_number": "205-208-9001",
            "fax_number": "205-208-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE VEIN AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MARSTON",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "205-208-9001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Reed, LPC
• Rehab Associates, LLC
• Rehab Associates, LLC (Champion Sports Medicine)
• Rehab Associates, LLC (Champion Sports Medicine)
• Renewing the Mind Counseling Services, LLC
• Jennifer Reynolds
• Daniel L Richards, DMD
• Renee R. Richesin, M.D.
• Robert W Nesbitt MD PC
• Cicely Roberts, LPC

• Cardiovascular Specialist/Technologist in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Cardiovascular Specialist/Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.