The Healthy Vein, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THE HEALTHY VEIN, SC

Practice address

N79W14684 Appleton Ave
Menomonee Falls, WI 53051-4308

Phone

(262) 229-4060

Fax

(262) 229-4062

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Theresa M Quinn, MDNPI 1821040528

Title

Medical Director

Phone

(262) 229-4060

Specialties & licenses 1

Addresses

Other names 1

• Wisconsin Vein Solutions, SC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa M Quinn, M.D.

  • Surgery Physician
  • Menomonee Falls, WI
  • NPI 1821040528

  Surgery, WI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1972901262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N79W14684 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514308",
            "telephone_number": "262-229-4060",
            "fax_number": "262-229-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N79W14684 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514308",
            "telephone_number": "262-229-4060",
            "fax_number": "262-229-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY VEIN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-229-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Vein Solutions, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Menomonee Falls, WI
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.