AMERICAN VEIN INSTITUTE LLC (NPI# 1487196424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487196424 |
| Entity Type | Organization |
| Organization Name | AMERICAN VEIN INSTITUTE LLC |
| Practice Address |
10020 Dupont Circle Ct Ste 140 Fort Wayne IN 46825-1621 |
| Practice Telephone | 2604182427 |
| Practice Fax Number | 2604894188 |
| Mailing Telephone | 2604182427 |
| Mailing Fax Number | 2604894188 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | DAVID LI (OWNER) |
| Authorized Official Telephone | 2604182427 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
10020 DUPONT CIRCLE CT STE 140 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 |
|---|---|---|---|---|
| 1801456603 | Wickel Vascular Surgery & Medicine PC | Surgery | 1919 State St Ste 444, New Albany, IN 47150-6809 | 2019-06-14 |
| 1154832178 | Allied Physicians of Michiana, LLC | Surgery | 611 E Douglas Rd Ste 308, Mishawaka, IN 46545-1465 | 2017-10-17 |
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1649468364 | South Bend Vein Center for Excelllence, LLC | Surgery | 2025 Edison Rd, South Bend, IN 46637-5599 | 2007-10-09 |
| 1396938031 | Peripheral Vascular Care | Surgery | 640 S Walker St, Bloomington, IN 47403-2158 | 2007-08-27 |
| 1285841502 | Decatur Vein Clinic Hobart, PC | Surgery | 5043 E Lincoln Hwy, Merrillville, IN 46410-5912 | 2007-05-17 |
| 1093881385 | Decatur Vein Clinic, Michigan, PC | Surgery | 645 W Carmel Dr, Suite 101, Carmel, IN 46032-2605 | 2006-11-28 |
| 1962508853 | Indiana Phlebology PC | Surgery | 371 E 84th Dr Ste 371, Merrillville, IN 46410-6484 | 2006-09-16 |
| 1447361928 | The Heart and Vascular Clinic, P.C. | Surgery | 3251 Shawnee Drive South, Bedford, IN 47421 | 2006-08-31 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on AMERICAN VEIN INSTITUTE LLC.
| 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.