MEDICUS VEINCARE – NPI #1043406838
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

MEDICUS VEINCARE is a radiologist located in JUPITER, FL. NPPES has assigned the NPI number 1043406838 to MEDICUS VEINCARE on September 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICUS VEINCARE” is a dba name, the actual legal business name for this organization is VEIN SPECIALISTS, P.A.. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Apr 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICUS VEINCARE below.

NPI Profile for
VEIN SPECIALISTS, P.A.

NPI Number
1043406838
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VEIN SPECIALISTS, P.A.
Doing Business As (dba): MEDICUS VEINCARE
Primary location
5155 CORPORATE WAY STE A
JUPITER, FL 33458-4359
Phone: (561) 624-0123 Fax: (561) 624-1453
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN TIDWELL
PRESIDENT
Phone: (561) 624-0123
Updated
Certification Date
Apr 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)		 FL ME 62477

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.