USA VEIN CLLINICS OF BELLEVUE, PLLC (NPI# 1316335417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316335417 |
| Entity Type | Organization |
| Organization Name | USA VEIN CLLINICS OF BELLEVUE, PLLC |
| Practice Address |
1240 116th Ave Ne Bellevue WA 98004-3815 |
| Mailing Address |
Po Box 1602 Northbrook IL 60065-1602 |
| Practice Telephone | 2065088768 |
| Practice Fax Number | 2242468042 |
| Mailing Telephone | 8472571244 |
| Mailing Fax Number | 2242468042 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | DR. YAN KATSNELSON (OWNER) |
| Authorized Official Telephone | 8472571244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1240 116TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779827 | Jessica Lee Jajesnica | Nurse Practitioner | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2006-10-04 |
| 1902310329 | Laura Moretti | Behavioral Analyst | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2017-11-21 |
| 1326551805 | Alicia K Bomer | Behavioral Analyst | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2017-11-07 |
| 1326558446 | Michelle Aichlmayr | Behavioral Analyst | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2017-10-03 |
| 1639697212 | Jdyn Rl Banks | Behavioral Analyst | 1240 116th Ave Ne, Ste 102, Bellevue, WA 98004 | 2017-09-05 |
| 1982145389 | Kielan Lemoine-kowalski | Behavioral Analyst | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2017-03-17 |
| 1295276038 | Rachel Jane Guadamuz | Behavioral Analyst | 1240 116th Ave Ne, Suite 102, Bellevue, WA 98004-3815 | 2017-03-13 |
| 1538607577 | Tara Chelan Blahm | Behavioral Analyst | 1240 116th Ave Ne, Bellevue, WA 98004 | 2017-02-10 |
| 1811433592 | Erin Peskin | Behavioral Analyst | 1240 116th Ave Ne, 102, Bellevue, WA 98004-3815 | 2017-01-18 |
| 1124563945 | Roy Scott Telford | Behavioral Analyst | 1240 116th Ave Ne, Unit 102, Bellevue, WA 98004-3815 | 2017-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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| 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 |
|---|---|---|---|---|
| 1699793968 | Mark P. Ombrellaro | Surgery | 1135 116th Ave Ne Ste 220, Bellevue, WA 98004-4623 | 2006-07-17 |
| 1942292875 | Lake Washington Vascular Pllc | Surgery | 1135 116th Ave Ne Ste 305, Bellevue, WA 98004-4623 | 2005-08-17 |
| 1487035952 | Usa Vascular Centers of Bellevue, Pllc | Surgery | 1240 116th Ave Ne, Suite B, Bellevue, WA 98004-3815 | 2015-06-10 |
| 1053678326 | Elena K Rinehardt | Surgery | 1135 116th Ave Ne Ste 305, Bellevue, WA 98004-4623 | 2012-04-11 |
| 1639373277 | Renee Carole Minjarez | Surgery | 1135 116th Ave Ne, Suite 305, Bellevue, WA 98004-4623 | 2007-06-14 |
| 1356471833 | Eastside Vascular LLP | Surgery | 1135 116th Ave Ne Ste 220, Bellevue, WA 98004-4623 | 2007-03-06 |
| 1306864673 | Dudley T Moorhead II | Surgery | 1135 116th Ave Ne Ste 220, Bellevue, WA 98004-4623 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
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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.