VEIN CARE PAVILION OF THE SOUTH
NPI 1144569757
Surgery in Germantown, WI

Active since February 04, 2013
W178N9912 RIVERCREST DR, SUITE 102, GERMANTOWN, WI 53022(262) 672-6900 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery

About VEIN CARE PAVILION OF THE SOUTH

This page provides the complete NPI Profile along with additional information for Vein Care Pavilion Of The South, a provider established in Germantown, Wisconsin operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1144569757 assigned on February 2013. The practitioner's primary taxonomy code is 208600000X with license number 44670-20 (WI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lori Davis (Managing Member)

NPI
1144569757 Verify this NPI
Provider Name
VEIN CARE PAVILION OF THE SOUTH
Entity Type
Organization
Location Address
W178N9912 RIVERCREST DR SUITE 102 GERMANTOWN, WI 53022
Location Phone
(262) 672-6900
Mailing Address
W178N9912 RIVERCREST DR SUITE 102 GERMANTOWN, WI 53022
Mailing Phone
(262) 672-6900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2013
Last Update Date
07-16-2013
Code Navigator

A surgeon like Vein Care Pavilion Of The South treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

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

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
44670-20
License State
WI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

LORI DAVIS

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(706) 951-1998

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Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
W178N9912 RIVERCREST DR, SUITE 102
GERMANTOWN, WI 53022
Clinic/Center (Radiology)
W178N9912 RIVERCREST DR, SUITE 102-A
GERMANTOWN, WI 53022
Radiology (Diagnostic Radiology)
W178N9912 RIVERCREST DR, SUITE 102
GERMANTOWN, WI 53022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144569757, enumerated as an "organization" on February 04, 2013.

The provider is located at W178N9912 RIVERCREST DR SUITE 102 GERMANTOWN, WI 53022 and the phone number is (262) 672-6900.

Surgery with taxonomy code 208600000X.