AVENA VASCULAR, INC.,P.C. (NPI# 1285928291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285928291 |
| Entity Type | Organization |
| Organization Name | AVENA VASCULAR, INC.,P.C. |
| Practice Address |
21616 76th Ave W Suite 200 Edmonds WA 98026-7512 |
| Mailing Address |
11714 N Creek Pkwy N Suite 100 Bothell WA 98011-8250 |
| Practice Telephone | 8558348346 |
| Practice Fax Number | 4254240168 |
| Mailing Telephone | 8558348346 |
| Mailing Fax Number | 4254240168 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | DR. MARK S KIM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8558348346 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | MD00039071 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G8902619 | 01 |
| Street Address |
21616 76TH AVE W SUITE 200 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123827 | Hyun Joong Hong | Internal Medicine | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2005-11-30 |
| 1699162875 | Ronald N. Waltz, M.d., Pllc | Family Medicine | 21616 76th Ave W, Suite 109, Edmonds, WA 98026-7512 | 2015-04-24 |
| 1366842536 | Veronique Rozon-gauthier | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2014-08-25 |
| 1639500523 | Eileen Anderson | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2013-12-03 |
| 1124385497 | Rose Ann Rhodes | Social Worker | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2012-04-11 |
| 1952688103 | Dan Zhou | Massage Therapist | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2011-11-15 |
| 1912298290 | The Washington Center for Pain Management Sleep Lab | Clinical Medical Laboratory | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2011-04-21 |
| 1497984850 | Howard John Quint | Anesthesiology | 21616 76th Ave W, Suite 209, Edmonds, WA 98026-7512 | 2009-07-07 |
| 1790942886 | Praveen Kumar Mambalam | Anesthesiology | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2008-05-17 |
| 1013125574 | Lori Olson Caldwell | Audiologist-Hearing Aid Fitter | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1871072868 | Thi Lan Huong Nguyen | Phlebology | 5165 S 160th St, Tukwila, WA 98188-2762 | 2018-08-09 |
| 1447552435 | Agape Healthcare Pllc | Phlebology | 14256 Se 83rd St, Newcastle, WA 98059-3457 | 2010-11-23 |
| 1124257720 | Nouveau Jeunesse Associates, Pllc | Phlebology | 7211 W Deschutes Ave Ste D202, Kennewick, WA 99336-7728 | 2009-07-06 |
| 1093294175 | Tuyethong Bui | Phlebology | 330 Sw 43rd St Ste L, Renton, WA 98057-4900 | 2018-08-09 |
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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.