CENTER FOR VEIN RESTORATION MA LLC (NPI# 1518523810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518523810 |
| Entity Type | Organization |
| Organization Name | CENTER FOR VEIN RESTORATION MA LLC |
| Practice Address |
3640 Main St Ste 302 Springfield MA 01107-1134 |
| Mailing Address |
7474 Greenway Center Dr Ste 1000 Greenbelt MD 20770-3500 |
| Practice Telephone | 8558308346 |
| Practice Fax Number | 2404734321 |
| Mailing Telephone | 8558308346 |
| Mailing Fax Number | 2404734321 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | DR. KHANH Q NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 8558308346 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04066051 | 05 |
| Street Address |
3640 MAIN ST STE 302 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1184114480 | New Jersey Bariatric Group, PC | Surgery | 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 | 2018-05-14 |
| 1174903488 | Samuel J Rheinhardt | Surgery | 701 N 1st St Ste D327, Springfield, IL 62702-3757 | 2015-06-02 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1881033926 | Frank A. Cornella Dds, Md PC | Surgery | 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 | 2013-06-21 |
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1780939462 | Daniel Caleb Persinger | Surgery | 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 | 2012-07-18 |
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1356655054 | Allison Melissa Key | Surgery | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2010-08-05 |
| 1679704761 | James P Buwen | Surgery | 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 | 2009-08-06 |
| 1386871069 | Lindsey Leigh Saint | Surgery | 315 W Carpenter St Fl 2, Springfield, IL 62702 | 2009-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.