MOUNTAIN VEIN CARE PROFESSIONAL LLC (NPI# 1629310107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629310107 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VEIN CARE PROFESSIONAL LLC |
| Other Organization Name | MOUNTAIN VEIN CARE |
| Practice Address |
56 Edwards Village Blvd Suite 226 Edwards CO 81632-7802 |
| Mailing Address |
Po Box 178 Edwards CO 81632-0178 |
| Practice Telephone | 9707668346 |
| Practice Fax Number | 8889798915 |
| Mailing Telephone | 9707668346 |
| Mailing Fax Number | 8889798915 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | CARL DANDO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7247994917 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
49096 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Vein Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Vein Care Professional LLC | 50 Buck Creek Road, #205, Avon, CO 81620 |
| Street Address |
56 EDWARDS VILLAGE BLVD SUITE 226 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033213210 | Shannon Dee Garton | Family Medicine | 56 Edwards Village Blvd, Suite 208, Edwards, CO 81632-7802 | 2006-09-11 |
| 1801346226 | B-linexpress LLC. | Non-emergency Medical Transport (VAN) | 56 Edwards Village Blvd, The Edwards Corner Building Suite 207, Edwards, CO 81632-7802 | 2016-10-10 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1972973212 | Polly Hastie | Nurse Practitioner | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632-7802 | 2015-09-29 |
| 1831577931 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-11 |
| 1962889238 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-06 |
| 1710372248 | Thrivemd PC | Anesthesiology | 56 Edwards Village Blvd, Suite 113, Edwards, CO 81632-7802 | 2015-04-01 |
| 1396169389 | Janet Marie Graham | Nurse Practitioner | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2014-02-11 |
| 1922380278 | Palic Miller Pllc | Chiropractor | 56 Edwards Village Blvd, 113, Edwards, CO 81632-7802 | 2011-09-13 |
| 1255610119 | Rocky Mountain Audiology LLC | Audiologist | 56 Edwards Village Blvd, Suite 222, Edwards, CO 81632-7802 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| 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.