USA VEIN CLINICS OF MARYLAND LLC
NPI 1003616541
Surgery - Vascular Surgery in Rockville, MD

Active since March 14, 2025
9707 KEY WEST AVE STE 125C, ROCKVILLE, MD 20850(240) 268-1224 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery
  • Vascular Surgery

About USA VEIN CLINICS OF MARYLAND LLC

This page provides the complete NPI Profile along with additional information for Usa Vein Clinics Of Maryland Llc, a provider established in Rockville, Maryland operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1003616541 assigned on March 2025. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated one year ago. Usa Vein Clinics Of Maryland Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ashley Jackson (Manager)

NPI
1003616541 Verify this NPI
Provider Name
USA VEIN CLINICS OF MARYLAND LLC
Entity Type
Organization
Location Address
9707 KEY WEST AVE STE 125C ROCKVILLE, MD 20850
Location Phone
(240) 268-1224
Mailing Address
304 WAINWRIGHT DR NORTHBROOK, IL 60062
Mailing Phone
(323) 350-1204
Mailing Fax
(224) 235-4652
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2025
Last Update Date
03-14-2025
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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
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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.

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

ASHLEY JACKSON

Authorized Official Title
MANAGER
Authorized Official Phone
(323) 350-1204

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003616541, enumerated as an "organization" on March 14, 2025.

The provider is located at 9707 KEY WEST AVE STE 125C ROCKVILLE, MD 20850 and the phone number is (240) 268-1224.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.