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GENESIS AESTHETIC FACE AND VEIN SPECIALISTS, PC
NPI 1770770380
Surgery - Vascular Surgery in Suffolk, VA

Active since September 27, 2007
1500 BREEZEPORT WAY, SUITE 100, SUFFOLK, VA 23435(757) 686-9747 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Aesthetic Face And Vein Specialists, Pc NPPES

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

GENESIS AESTHETIC FACE AND VEIN SPECIALISTS, PC (NPI 1770770380) is a healthcare organization registered as a vascular surgery in Suffolk, Virginia and active in the NPI registry since September 2007. The organization lists Keith Cameron Nichols, President, as its authorized official.

NPPES Registry Identity

NPI1770770380
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGENESIS AESTHETIC FACE AND VEIN SPECIALISTS, PC
Location Address1500 BREEZEPORT WAY, SUITE 100Suffolk, VA 23435-3727
Mailing Address1500 Breezeport Way, Suite 100Suffolk, VA 23435-3727 · (757) 686-9747
Phone(757) 686-9747
Organization SubpartNo
Authorized OfficialKeith Cameron NicholsPresident · (757) 686-9747
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJuly 16, 2008
✔ NPI 1770770380 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 VA · 0101040623
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1500 BREEZEPORT WAY, Suffolk, VA 23435
Open in Google Maps ↗

Other Identifiers 4

OtherP00208779VA · Railroad Medicare
Medicare UPINB06846VA
Medicare PIN00W168G01VA
Medicare PINC09302VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

CIRCULATORY CENTERS, P.C.
Specialist
1500 BREEZEPORT WAY, SUITE 100
SUFFOLK, VA 23435
Suffolk City (800) 526-3082

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 Genesis Aesthetic Face And Vein Specialists, PC's NPI number?

The NPI number for Genesis Aesthetic Face And Vein Specialists, PC is 1770770380. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Genesis Aesthetic Face And Vein Specialists, PC located?

Genesis Aesthetic Face And Vein Specialists, PC is located at 1500 Breezeport Way Suite 100, Suffolk, VA 23435. The listed phone number is (757) 686-9747.

What is Genesis Aesthetic Face And Vein Specialists, PC'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 Genesis Aesthetic Face And Vein Specialists, PC was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.