DR. GOLTA RASOULI (NPI# 1154765667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765667 |
| Entity Type | Individual |
| Full Name | DR. GOLTA RASOULI |
| Credential | M.D. |
| Practice Address |
1050 Old Camp Rd Ste 150 The Villages FL 32162-1723 |
| Mailing Address |
1576 Bella Cruz Dr Unit 264 The Villages FL 32159-8969 |
| Practice Telephone | 6466470411 |
| Practice Fax Number | 8179843970 |
| Mailing Telephone | 6466470411 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME145594 | FL | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | ME145594 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Marcus Ave Ste S160, New Hyde Park, NY 110421011 | (516) 519-5600 | |
| 1186 W Pioneer Pkwy, Arlington, TX 760136367 | 8177044223 | 8179843970 |
| 101 Manning Dr, Chapel Hill, NC 275144220 | 8477759719 |
| Street Address |
1050 OLD CAMP RD STE 150 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518256932 | Sean Mazloom | Dermatology | 1050 Old Camp Rd Ste 150, The Villages, FL 32162-1723 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417122037 | Comprehensive Vein Center LLC | Phlebology | 1050 Old Camp Road, Ste 202, The Villages, FL 32162-1762 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356788 | Jose R Rodriguez | Phlebology | 330 W 9th St Ste 5, Hialeah, FL 33010-3865 | 2020-08-11 |
| 1518582790 | Kimberly Ann Harriman | Phlebology | 3574 Lei Dr, Sarasota, FL 34232-5559 | 2020-06-12 |
| 1164043758 | Jasmine Tashawn Williams | Phlebology | 1441 Manotak Ave Apt 1613, Jacksonville, FL 32210-1071 | 2020-05-05 |
| 1710519640 | Heather Danielle Basagoitia | Phlebology | 1345 Sw 30th St, Fort Lauderdale, FL 33315-2842 | 2020-02-09 |
| 1184180739 | Lumiere Cosmetic Vein Center P A | Phlebology | 2546 Heydon Ln Ste 2, Cape Coral, FL 33991-3550 | 2019-02-19 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1174087290 | Healthtrust Medical Center Corp | Phlebology | 7801 Coral Way Ste 112, Miami, FL 33155-6538 | 2019-01-23 |
| 1922589068 | Cynetra Zollicoffer | Phlebology | 10208 Douglas Oaks Cir Apt 104, Tampa, FL 33610-8651 | 2018-08-27 |
| 1144729575 | Labs At Your Door LLC | Phlebology | 4612 N Hiatus Rd, Sunrise, FL 33351-7909 | 2018-02-12 |
| 1881972347 | Veincare of Brevard, LLC | Phlebology | 2712 Newfound Harbor Dr, Merritt Island, FL 32952-2866 | 2011-08-01 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.