OrganizationActive
Genesis Aesthetic Face and Vein Specialists, PC
NPI 1770770380 · Vascular Surgery Physician · Suffolk, VA
Provider details
- NPI number
- 1770770380
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keith Nichols, President(757) 686-9747
- License
- 0101040623 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 Breezeport Way
Suite 100
Suffolk, VA 23435-3727
Phone: (757) 686-9747
Street-level locationGet directions
Mailing address
1500 Breezeport Way
Suffolk, VA 23435-3727
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.