CENTER FOR VASCULAR MEDICINE IN LLC (NPI# 1194354274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194354274 |
| Entity Type | Organization |
| Organization Name | CENTER FOR VASCULAR MEDICINE IN LLC |
| Practice Address |
33 E County Line Rd Ste D Greenwood IN 46143-1078 |
| Mailing Address |
7474 Greenway Center Dr Ste 900 Greenbelt MD 20770-3504 |
| Practice Telephone | 3014864690 |
| Mailing Telephone | 3019822000 |
| Mailing Fax Number | 3019822001 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | RICHARD KENNEDY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3019822000 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR VASCULAR MEDICINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
33 E COUNTY LINE RD STE D |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114265238 | Joseph A Beardsley Md Professional Corp | Specialist | 1777 W Stones Crossing Rd Ste 1, Greenwood, IN 46143-7899 | 2013-01-24 |
| 1710210653 | Carolina Health Centers/piedmont Physicians for Women | Specialist | 102 Katie Court, Piedmont Physicians for Women, Greenwood, SC 29646-9059 | 2009-09-10 |
| 1518120856 | Christine Adefuin Murakami | Specialist | 1123 Spring St, Greenwood, SC 29646-3833 | 2008-07-07 |
| 1124208400 | Barbara R. Sturm, M.d.,p.c. | Specialist | 1777 W Stones Crossing Rd Ste 4, Greenwood, IN 46143-7899 | 2007-11-05 |
| 1275725590 | Central Mississippi Radiology | Specialist | 1803 Strong Ave, Greenwood, MS 38930-3913 | 2007-08-10 |
| 1881787687 | Edwin M Meek Jr. | Specialist | 1313 River Rd, Greenwood, MS 38930-4029 | 2006-10-02 |
| 1235246737 | Joseph A Beardsley | Specialist | 1777 W Stones Crossing Rd, Ste 1, Greenwood, IN 46143-7899 | 2006-08-23 |
| 1871607598 | Syed S Rafique | Specialist | 333 Highway 82 W, Greenwood, MS 38930-6538 | 2006-08-18 |
| 1457327066 | Jason Travis Reed | Specialist | 203 Janeway, Greenwood, SC 29649-1539 | 2006-02-23 |
| 1942274345 | Habib John Komari | Specialist | 4033 Will Z Way Ct, Greenwood, IN 46143-9312 | 2006-02-14 |
| Find all providers in GREENWOOD | ||||
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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.