VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC (NPI# 1366901779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366901779 |
| Entity Type | Organization |
| Organization Name | VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC |
| Practice Address |
6029 Walnut Grove Rd Ste 109 Memphis TN 38120-2112 |
| Practice Telephone | 9012497295 |
| Mailing Telephone | 9012497295 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | HEATHER NOEL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8136671389 |
| Is Organization Subpart | Y |
| Parent Organization Name | VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016941 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 1385 W Brierbrook Rd, Germantown, TN 38138-2208 | 2018-09-10 |
| Street Address |
6029 WALNUT GROVE RD STE 109 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1821545302 | Lynn's Got It Going On Beauty Salon | Prosthetic/Orthotic Supplier | 1119 Springdale St, Memphis, TN 38108-3044 | 2016-09-01 |
| 1033536180 | Center for Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 38 N Pauline St, Memphis, TN 38105-5104 | 2014-03-26 |
| 1578902011 | Mnm Ecommerce Group, LLC | Prosthetic/Orthotic Supplier | 5271 Mendenhall Park Pl, Memphis, TN 38115-5906 | 2013-06-18 |
| 1063752293 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 266 S Cleveland St Ste 102, Memphis, TN 38104 | 2013-02-25 |
| 1225311996 | Pink Ribbons LLC | Prosthetic/Orthotic Supplier | 6295 Summer Ave Ste 105, Memphis, TN 38134-5983 | 2011-09-20 |
| 1447585492 | Access P&o Central Fab | Prosthetic/Orthotic Supplier | 1089 Eastmoreland Ave, Memphis, TN 38104-3334 | 2009-10-08 |
| 1477763332 | Advanced Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 6515 Poplar Ave, Ste #112, Memphis, TN 38119-4878 | 2007-05-22 |
| 1386788636 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6740 Reese Road, Memphis, TN 38133-4978 | 2007-02-19 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.