NPIMap

Organization Active NPI

Nuvena Vein Center, LLC

Doing business as Nuvena Vascular Institute

  • Vascular & Interventional Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1952772782
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
NUVENA VEIN CENTER, LLC
Doing business as
Nuvena Vascular Institute
Practice address
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone
(260) 484-5919
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FORT WAYNE RADIOLOGY ASSOCIATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. John D Reed Jr., M.D.
Title
President
Phone
(260) 469-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

3707 New Vision Dr
Fort Wayne, IN 46845-1702

Mailing address

10202 Coldwater Rd Ste B
Fort Wayne, IN 46825-2076

Other names 1

  • Nuvena Vascular Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Fort Wayne Radiology

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10202 Coldwater Rd
Ste B
Fort Wayne, IN 46825
Phone (260) 469-0552

11136 Parkview Circle Dr
Fort Wayne, IN 46845

3974 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 471-5980

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

920 N State Road 5
Ste 1
Shipshewana, IN 46565

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1952772782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 COLDWATER RD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451702",
            "telephone_number": "260-484-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVENA VEIN CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT WAYNE RADIOLOGY ASSOCIATION, LLC",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-469-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuvena Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.