NORTH CAROLINA PHLEBOLOGY PC (NPI# 1548206022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206022 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA PHLEBOLOGY PC |
| Practice Address |
309 S Sharon Amity Rd Ste 304 Charlotte NC 28211-2886 |
| Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
| Practice Telephone | 7044422400 |
| Practice Fax Number | 7043640713 |
| Mailing Telephone | 6307252730 |
| Mailing Fax Number | 8442055691 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | DR. SATISH VAYUVEGULA (PRESIDENT) |
| Authorized Official Telephone | 6307252700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | NC | Allopathic & Osteopathic Physicians | |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
NC | Allopathic & Osteopathic Physicians | |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
NC | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE RAILROAD | DE0112 | 01 |
| Street Address |
309 S SHARON AMITY RD STE 304 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1619363538 | William Charles Sherrill IIi | Surgery | 1000 Blythe Blvd Ste 601, Charlotte, NC 28203-5812 | 2015-04-07 |
| 1174968069 | Jonathan Bouchez | Surgery | 1000 Blythe Bvld., Charlotte, NC 28203 | 2013-05-06 |
| 1437475779 | Blair A Wormer | Surgery | 1901 Brunswick Ave Ste 200, Charlotte, NC 28207-1897 | 2010-04-12 |
| 1407039845 | Charles Arthur Hill IIi | Surgery | 325 Hawthorne Ln Ste 100, Charlotte, NC 28204 | 2007-12-07 |
| 1841491370 | Johnnie Lyles | Surgery | 2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 | 2007-05-31 |
| 1619000486 | Gordon W Jacobs | Surgery | 14920 Wyndham Oaks Dr, Charlotte, NC 28277-1512 | 2007-03-13 |
| 1750421228 | Sandra Giller | Surgery | 1918 Randolph Rd Ste 130, Charlotte, NC 28207-1107 | 2007-02-07 |
| 1831255009 | Wendell Aubrey Goins | Surgery | 9336 Blakeney Centre Dr, Ste 100b, Charlotte, NC 28277-6666 | 2006-12-29 |
| Find all providers in CHARLOTTE | ||||
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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.