VEIN CARE PAVILION OF NASHVILLE
NPI 1720255532
Surgery - Vascular Surgery in Nashville, TN

NPI Status: Active since May 12, 2008

Contact Information

2222 STATE ST
STE 200B-1
NASHVILLE, TN
ZIP 37203
Phone: (615) 329-0029

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  • Organization
  • Surgery
  • Vascular Surgery
  • CLIA Number: 44D2095255
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-03-2027

About VEIN CARE PAVILION OF NASHVILLE

This page provides the complete NPI Profile along with additional information for Vein Care Pavilion Of Nashville, a provider established in Nashville, Tennessee operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1720255532 assigned on May 2008. The practitioner's primary taxonomy code is 2086S0129X with license number 43956 (TN). The provider is registered as an organization and their NPI record was last updated 13 years ago. Vein Care Pavilion Of Nashville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Vein Care Pavilion Of Nashville. The authorized official of this NPI record is Steven M Roth M.d. (Sole Member/president)

NPI
1720255532
Provider Legal Name
VCP NASHVILLE, LLC
Other Organization Name
VEIN CARE PAVILION OF NASHVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2222 STATE ST STE 200B-1 NASHVILLE, TN 37203
Location Phone
(615) 329-0029
Mailing Address
4350 TOWNE CENTRE DR STE 2000 EVANS, GA 30809
Mailing Phone
(706) 854-3333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2008
Last Update Date
05-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
43956
License State
TN
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

26844 (TN)
2208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

21108 (TN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN M ROTH M.D.

Authorized Official Title
SOLE MEMBER/PRESIDENT
Authorized Official Phone
(706) 854-3333

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3370314OTHER (01)TNMEDICARE GROUP PTAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2095255
Facility Type
Physician Office
Certificate Effective Date
May 04, 2025
Certificate Expiration Date
May 03, 2027
Laboratory Director
JOHN E. VINCENT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vein Care Pavilion Of Nashville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VEIN CARE PAVILION OF NASHVILLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720255532
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740451056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 5 + 1 + 0 + 5 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720255532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013094028DR. JON HOWARD LEVINE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)2222 STATE ST SUITE C
NASHVILLE, TN 37203
(615) 329-0131
1508062555MR. MICHAEL WAYNE JESSIE CPHT
Individual
Pharmacy Technician2222 STATE ST SUITE A
NASHVILLE, TN 37203
(615) 371-1210
1548600877MARK A BENAK MD NASHVILLE PC
Organization
Surgery (Vascular Surgery)2222 STATE ST SUITE 200 B 1
NASHVILLE, TN 37203
(615) 329-0029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720255532, enumerated in the NPI registry as an "organization" on May 12, 2008

The provider is located at 2222 State St Ste 200b-1 Nashville, Tn 37203 and the phone number is (615) 329-0029

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D2095255 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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