VEIN SPECIALISTS OF NORTH CAROLINA, PA – NPI #1124225057
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.

VEIN SPECIALISTS OF NORTH CAROLINA, PA is a surgeon located in WILMINGTON, NC. NPPES has assigned the NPI number 1124225057 to VEIN SPECIALISTS OF NORTH CAROLINA, PA on July 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is KAMRAN GOUDARZI, MD, PA. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Mar 16, 2022. 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 VEIN SPECIALISTS OF NORTH CAROLINA, PA below.

NPI Profile for
VEIN SPECIALISTS OF NORTH CAROLINA, PA

NPI Number
1124225057
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 OF NORTH CAROLINA, PA
Former Legal Business Name: KAMRAN GOUDARZI, MD, PA
Primary location
6752 ROCK SPRING ROAD
SUITE #200
WILMINGTON, NC 28405
Phone: (910) 798-5347 Fax: (910) 763-6570
4 Other location(s):
232 Crossroads Blvd
Cary, NC 27518-6893
Phone: (919) 859-1276
326 S Sharon Amity Rd
Charlotte, NC 28211-2806
Phone: (704) 442-2400
206 Joe Knox Ave Ste H
Mooresville, NC 28117-7912
Phone: (704) 684-4511
20 Medical Campus Dr NW Ste 207
Supply, NC 28462-4094
Phone: (910) 755-5253
Mailing address
2015 SPRING RD STE 300
OAK BROOK, IL 60523-3944
Phone: (630) 725-2700 Fax:
Organization Subpart
No
Authorized Official
CYNTHIA JONES
CREDENTIALING
Phone: (630) 725-2737
Updated
Certification Date
Mar 16, 2022

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.

Identifiers

Identifiers for VEIN SPECIALISTS OF NORTH CAROLINA, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARE PINNCDC3861
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
208600000X
- Surgery (Primary)
207P00000X
- Emergency Medicine

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.