VEIN CARE PAVILION OF RALEIGH
NPI 1639310642
Surgery - Vascular Surgery in Knightdale, NC

Active since March 20, 2009
6905 KNIGHTDALE BLVD STE 105, KNIGHTDALE, NC 27545(919) 266-0696(919) 266-0692 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vein Care Pavilion Of Raleigh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VEIN CARE PAVILION OF RALEIGH (NPI 1639310642) is a healthcare organization registered as a vascular surgery in Knightdale, North Carolina and active in the NPI registry since March 2009. The organization lists Steven M Roth, Sole Member/president, as its authorized official.

NPPES Registry Identity

NPI1639310642
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVCP RALEIGH, LLC
Location Address6905 KNIGHTDALE BLVD STE 105Knightdale, NC 27545-6504
Mailing Address4350 Towne Centre Dr, Ste 2000Evans, GA 30809-3301 · (706) 854-3333 · Fax (706) 396-0615
Fax(919) 266-0692
Organization SubpartNo
Authorized OfficialSteven M RothSole Member/president · (706) 854-3333
Enumeration DateMarch 20, 2009
Last NPPES UpdateMay 23, 2012
NPI 1639310642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NC · 2008-01738
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
6905 KNIGHTDALE BLVD STE 105, Knightdale, NC 27545

Other Names 1

Doing Business AsVein Care Pavilion Of Raleigh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6905 KNIGHTDALE BLVD STE 105
KNIGHTDALE, NC 27545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vcp Raleigh, LLC's NPI number?

The NPI number for Vcp Raleigh, LLC is 1639310642. It was assigned to this organization in the NPPES registry on March 20, 2009. The provider is doing business as Vein Care Pavilion Of Raleigh.

Where is Vcp Raleigh, LLC located?

Vcp Raleigh, LLC is located at 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545. The listed phone number is (919) 266-0696.

What is Vcp Raleigh, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Vcp Raleigh, LLC was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.