WESTERN VASCULAR INSTITUTE PLLC (NPI# 1265521181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265521181 |
| Entity Type | Organization |
| Organization Name | WESTERN VASCULAR INSTITUTE PLLC |
| Practice Address |
7165 E University Dr Suite 183 Mesa AZ 85207-6400 |
| Mailing Address |
7165 E University Dr Suite 187 Mesa AZ 85207-6400 |
| Practice Telephone | 4806685000 |
| Practice Fax Number | 4806685065 |
| Mailing Telephone | 4806685000 |
| Mailing Fax Number | 4803471000 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | JILL TOM (CREDENTIALING OFFICER) |
| Authorized Official Telephone | 4806685000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 103899 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426001 | Western Vascular Institute Pllc | Specialist | 6750 E Baywood Ave, Suite 506, Mesa, AZ 85206-1749 | 2006-06-16 |
| Street Address |
7165 E UNIVERSITY DR SUITE 183 |
| City | MESA |
| State | AZ |
| Zip Code | 85207-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296348 | Lourdes M Iannello | Counselor | 7165 E University Dr, Suite 188-1, Mesa, AZ 85207-6400 | 2005-09-22 |
| 1326660457 | Steven Edward Felder | Registered Nurse | 7165 E University Dr, Mesa, AZ 85207-6400 | 2020-05-12 |
| 1639533821 | Apnecare Inc | Clinic/Center | 7165 E University Dr, Bldg 14, Suite 154, Mesa, AZ 85207-6400 | 2016-04-13 |
| 1710369335 | Jeffrey Robinson | Chiropractor | 7165 E University Dr, Mesa, AZ 85207 | 2015-06-19 |
| 1770976276 | Dawn Sanchez | Hearing Instrument Specialist | 7165 E University Dr, Suite 167, Mesa, AZ 85207-6400 | 2015-03-09 |
| 1609107754 | Viaquest Home Health of Arizona | Home Health | 7165 E University Dr, Ste 179-3, Mesa, AZ 85207-6400 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| 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 |
|---|---|---|---|---|
| 1154587459 | Hammad Amer | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2008-08-06 |
| 1992801005 | Hani Shennib | Surgery | 3850 E Baseline Rd Ste 103, Mesa, AZ 85206-4403 | 2006-09-15 |
| 1346215589 | Henry S Tarlian Jr. | Surgery | 7165 E University Drive Suite 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1871026484 | American Vascular Specialists LLC | Surgery | 6636 E Baseline Rd Ste 100, Mesa, AZ 85206-4430 | 2017-04-10 |
| 1831318195 | Paul Joseph Riesenman | Surgery | 6750 E Baywood Ave, Ste 503, Mesa, AZ 85206-1749 | 2007-04-25 |
| 1083701239 | Narendra P Myneni Md PC | Surgery | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2006-10-09 |
| 1881624732 | Arizona Vascular Surgery Consultants | Surgery | 2204 S Dobson Rd, Mesa, AZ 85202-6457 | 2006-07-04 |
| 1043285299 | Mitar Vranic | Surgery | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2006-02-21 |
| 1437124732 | Narendra Prasad Myneni | Surgery | 1450 S Dobson Rd, Suite A307, Mesa, AZ 85202-4712 | 2006-02-21 |
| 1285607986 | Randall S Fortuna | Surgery | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2006-02-12 |
| Find all providers in MESA | ||||
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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.