CENTER FOR VEIN RESTORATION AL LLC (NPI# 1164897427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164897427 |
| Entity Type | Organization |
| Organization Name | CENTER FOR VEIN RESTORATION AL LLC |
| Practice Address |
3280 Ross Clark Cir Dothan AL 36303-3040 |
| Mailing Address |
7474 Greenway Center Dr Suite 1000 Greenbelt MD 20770-3504 |
| Practice Telephone | 8558308346 |
| Practice Fax Number | 2404734321 |
| Mailing Telephone | 8558308346 |
| Mailing Fax Number | 2409654321 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | LORENA THOMAS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8152541761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
3280 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913025 | Kenneth Leonard Todd IIi | Specialist | 3280 Ross Clark Cir, Dothan, AL 36303-3040 | 2005-12-22 |
| 1588928659 | William Paul Littlefield | Nurse Practitioner | 3280 Ross Clark Cir, Dothan, AL 36303-3040 | 2012-07-03 |
| 1376693887 | Southeast Vein & Laser Center, P.C. | Specialist | 3280 Ross Clark Cir, Dothan, AL 36303-3040 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609194141 | Ross P. Davis Md PC | Surgery | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2010-05-07 |
| 1003834672 | Southeastern Cardiovascular Associates PC | Surgery | 2431 W Main St, Suite 1001, Dothan, AL 36301-1217 | 2006-07-18 |
| 1629095393 | Vein Center LLC | Surgery | 2431 W Main St, Suite 1001, Dothan, AL 36301-1217 | 2006-07-17 |
| 1639174154 | Ralph Burton Pfeiffer IIi | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296547 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E Ste 807, Tuscaloosa, AL 35401-7479 | 2018-02-27 |
| 1518473073 | Best Vein Care of Huntsville, LLC | Surgery | 2010 Southpoint Park Circle #170, Huntsville, AL 35801-5480 | 2017-12-20 |
| 1962896613 | Dr. J. Donald Carmichael Pa | Surgery | 2857 Canterbury Rd, Mountain Brk, AL 35223-1201 | 2015-03-19 |
| 1306155460 | Valley Vascular Consultants PC | Surgery | 201 Sivley Rd Sw Ste 530, Huntsville, AL 35801-5163 | 2010-10-06 |
| 1003136896 | Marshall Medical Center South | Surgery | 133 Wall St, Albertville, AL 35951-9300 | 2010-06-03 |
| 1215255757 | East Alabama Surgical Associates LLC | Surgery | 2410 Village Professional Pkwy, Opelika, AL 36801 | 2010-05-07 |
| 1700048998 | Barry L. Fields | Surgery | 4700 Southlake Pkwy, Birmingham, AL 35244-3202 | 2008-06-28 |
| 1093992646 | William N Veale Jr. | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2008-01-25 |
| 1942401690 | L.s. Mcgee,jr., M.d.,p.a. | Surgery | 15 W Midtown Park, Suite C, Mobile, AL 36606-4139 | 2007-05-30 |
| 1699784538 | Charles Austin Hunt II | Surgery | 4721 Chace Cir, Hoover, AL 35244-3700 | 2006-08-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTER FOR VEIN RESTORATION AL LLC.
| 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.