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Genesis Aesthetic Face and Vein Specialists, PC

Vascular Surgery Physician in Suffolk, VA · enumerated 2007 · authorized official Keith Nichols, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770770380

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Aesthetic Face and Vein Specialists, PC
Practice address 1500 Breezeport Way, Suite 100, Suffolk, VA, 23435
Enumeration date Sep 27, 2007
Last updated in NPPES Jul 16, 2008

Taxonomy & classification

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 0101040623 (VA) Primary

Authorized official

Name Keith Nichols
Title President

Other identifiers

Identifier Type State Issuer
P00208779 Other VA RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Genesis Aesthetic Face and Vein Specialists, PC located?
The practice location on file with NPPES is in Suffolk, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-16.