Madison Vein and Laser Institiute, S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

40938-020 Issued in WI

Legal business name

MADISON VEIN AND LASER INSTITIUTE, S.C.

Practice address

2275 Deming Way
Suite 280
Middleton, WI 53562-5527

Phone

(608) 831-7003

Fax

(608) 831-7044

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By 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. Boyd Eric Erdman, M.D.NPI 1508989716

Title

President

Phone

(608) 831-7003

Specialties & licenses 1

Addresses

Locations

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.

• Boyd Eric Erdman, M.D.

  • Phlebology Physician
  • Waunakee, WI
  • NPI 1508989716
  NPD Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1982890349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 DEMING WAY",
            "address_2": "SUITE 280",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625527",
            "telephone_number": "608-831-7003",
            "fax_number": "608-831-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 DEMING WAY",
            "address_2": "SUITE 280",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625527",
            "telephone_number": "608-831-7003",
            "fax_number": "608-831-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON VEIN AND LASER INSTITIUTE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-831-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "40938-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mackay, DPT
• Madison Birth Center
• Madison Institute of Neurological Disorders, SC
• Madison Integrative Medicine Alliance, Inc
• Madison Psychiatric Associates, LTD.
• Courtney Maher, OTR/L
• David J Maiers
• Ashley M Malm, PHYSICAL THERAPIST
• Mango Tree Afh LLC
• Mankind Support Service Inc

• Medical Specialty Clinic/Center in Middleton, WI
• Providers in Middleton, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.