Elena Vician, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

028636 Issued in SC

Practice address

1325 Spring St
Greenwood, SC 29646-3860

Phone

(864) 725-7100

Fax

(864) 725-7101

NPI assigned

Aug 11, 2006

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lvician@selfregional.direct.varian.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self Medical Group

  dba Advanced Gastroenterology

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)
• Self Regional Healthcare

  dba SRH Diabetes Education

  • Diabetes Educator Registered Nurse
  • Greenwood, SC
  • NPI 1417582503
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1992716195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-7100",
            "fax_number": "864-725-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICIAN",
        "first_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "SC",
            "license": "028636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286363",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Velky, MD
• Casey Gunnells Velky, P.T.
• Paul J Velky, MD
• Sara Kennedy Velky, PA-C
• Samuel Carey Venturella, M.D.
• Rollo P Villareal, MD
• Bethany Charlene Wade, LPC-A
• Gordon R Wagler, MD
• Tershara Wakefield, FNP-BC
• Tiffney Wakefield, NP

• Medical Oncology Physician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Medical Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.