CKW GROUP, ADVANCED VENOUS THERAPY (NPI# 1457650145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457650145 |
| Entity Type | Organization |
| Organization Name | CKW GROUP, ADVANCED VENOUS THERAPY |
| Practice Address |
1631 Lancaster Dr Suite240 Grapevine TX 76051-3585 |
| Practice Telephone | 8175105000 |
| Practice Fax Number | 8174429586 |
| Mailing Telephone | 8175105000 |
| Mailing Fax Number | 8174429586 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DAVID E KOSMOSKI (PRESIDENT) |
| Authorized Official Telephone | 8175105000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| Street Address |
1631 LANCASTER DR SUITE240 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504322 | Patricia Ann Decker | Physician Assistant | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2005-08-09 |
| 1093197865 | Debbie Lea Roso | Nurse Practitioner | 1631 Lancaster Dr, Grapevine, TX 76051-3585 | 2015-06-29 |
| 1902211337 | Angela Vodraska | Nurse Practitioner | 1631 Lancaster Dr, Ste. 150, Grapevine, TX 76051-3585 | 2014-06-24 |
| 1114208683 | Oncology Pharmacy Services, Inc. | Pharmacy | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2011-08-29 |
| 1619195047 | Pediatric Ophthalmology Pa | Ophthalmology | 1631 Lancaster Dr, # 200, Grapevine, TX 76051-3585 | 2007-04-23 |
| 1336219294 | Tommie Lynn Cook | Pharmacist | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2006-11-08 |
| 1649292467 | John Tong | Ophthalmology | 1631 Lancaster Dr, Ste 200, Grapevine, TX 76051 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
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|---|---|---|---|---|
| 1053923086 | K & S Mobile Labs | Phlebology | 305 Harlem St, Sweeny, TX 77480-2909 | 2020-08-20 |
| 1104449099 | Blessed Hands Mobile Healthcare | Phlebology | 5620 Sw Green Oaks Blvd Ste C, Arlington, TX 76017-1151 | 2020-05-26 |
| 1508416090 | Franz Velarde, Md. Pllc | Phlebology | 1700 W. Dove Ave., Suite 20, Mcallen, TX 78504-4464 | 2019-09-17 |
| 1508411067 | Vein Treatment Specialists Pllc | Phlebology | 4543 Post Oak Place Dr Ste 125, Houston, TX 77027-3114 | 2019-08-01 |
| 1144791591 | Latishica Eaden | Phlebology | 2618 Merganser Ct, Humble, TX 77396-4148 | 2018-12-11 |
| 1275025850 | Angela Buie | Phlebology | 5907 Queensgate Dr., Hse, Houston, TX 77066 | 2018-05-31 |
| 1588167423 | Vena Care Clinic LLC | Phlebology | 2203 Timberloch Pl Ste 132, Spring, TX 77380-1105 | 2018-03-16 |
| 1841738036 | Michael M Di Iorio, Md Pllc | Phlebology | 7500 Rialto Blvd Bldg 1, Suite 250, Austin, TX 78735-8531 | 2017-02-07 |
| 1477107407 | Rejuva Dermatology & Vein, Pllc | Phlebology | 3016 Communications Pkwy Ste 100, Plano, TX 75093-8906 | 2019-07-29 |
| 1669035408 | Texas Skin & Vein, Pllc | Phlebology | 2241 Nw Military Hwy Ste 200, San Antonio, TX 78213-4927 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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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.