DECATUR VEIN CLINIC, PC


Address: 33 E County Line Rd, Suite D, Greenwood, IN 46143-1077
Phone: 3178592916

DECATUR VEIN CLINIC, PC (NPI# 1629373436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629373436
Entity Type Organization
Organization Name DECATUR VEIN CLINIC, PC
Other Organization Name DECATUR VEIN CLINIC
Practice Address 33 E County Line Rd
Suite D
Greenwood
IN 46143-1077
Mailing Address 8925 N Meridian St
Suite 100
Indianapolis
IN 46260-2386
Practice Telephone 3178592916
Practice Fax Number 8009965313
Mailing Telephone 3172182807
Mailing Fax Number 8005913117
Enumeration Date 2011-01-26
Last Update Date 2013-10-31
Authorized Official Name THOMAS M WHITTEN (CEO/PRESIDENT/MEDICAL DIRECTOR)
Authorized Official Telephone 3172182807
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name DECATUR VEIN CLINIC, PC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201146690 05

Other Provider/Organization Names

Other Name Type Code
DECATUR VEIN CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508973181 Decatur Vein Clinic, PC Phlebology 3741 Rome Drive, Lafayette, IN 47905-4490 2006-08-23
1477669349 Decatur Vein Clinic, PC Phlebology 4513 S 7th St, Terre Haute, IN 47802-4503 2006-08-22
1346671005 Decatur Vein Clinic, PC Phlebology 323 Conrad Harcourt Way, Rushville, IN 46173-1161 2013-12-06
1962709709 Decatur Vein Clinic, PC Phlebology 3901 Dutchmans Ln, Suite 202, Louisville, KY 40207-4722 2011-02-14
1356646574 Decatur Vein Clinic, PC Phlebology 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 2011-01-19
1689851651 Decatur Vein Clinic, PC Phlebology 14540 Prairie Lakes Blvd N, Suite 202, Noblesville, IN 46060-4366 2008-01-22
1649357500 Decatur Vein Clinic, PC Surgery 645 W Carmel Dr, Suite 101, Carmel, IN 46032-2605 2006-10-31
1780790659 Decatur Vein Clinic, PC Surgery 620 W Edison Rd, Suite 118, Mishawaka, IN 46545-2784 2006-08-22
1982710851 Decatur Vein Clinic, PC Phlebology 7230 Engle Rd, Suite 101, Fort Wayne, IN 46804-2209 2006-08-22
1932215803 Decatur Vein Clinic, PC Phlebology 6540 Logan Dr, Suite 2, Evansville, IN 47715-8238 2006-08-22

Office Location

Street Address 33 E COUNTY LINE RD
SUITE D
City GREENWOOD
State IN
Zip Code 46143-1077

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051291 Michael C Carroll Podiatrist 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 2005-05-24
1881870814 Dyer Chiropractic Clinic P C Chiropractor 33 E County Line Rd, Ste A, Greenwood, IN 46143-1077 2008-01-22
1447339395 Sidney L Dyer Chiropractor 33 E County Line Rd, Greenwood, IN 46143-1043 2006-11-03
1730101072 Wendy Sue Winckelbach Podiatrist 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 2006-07-24
1356302137 J Karl Winckelbach Podiatrist 33 E County Line Rd, Ste B, Greenwood, IN 46143-1043 2006-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891395299 Tiffany Smirat Pharmacist 882 S Sr 135, Greenwood, IN 46143 2020-10-27
1083250138 Benajmin Thomas Nyboer Pharmacist 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 2019-11-25
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1194282525 Homebased Mental Health Service Case Management 2244 Blossom Dr, Greenwood, IN 46143 2019-02-21
1710478078 Anne E Packard Pharmacist 333 E County Line Rd # 101, Greenwood, IN 46143 2018-05-22
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1891246633 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 5961 N Sr 135, Greenwood, IN 46143 2016-10-17
1477919637 Ourhealth Physicians Group, LLC Clinic/Center 1273 N Emerson Ave Ste H, Greenwood, IN 46143 2016-01-04
1003212655 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 2014-11-10
1265831366 Katie D'agosto Counselor 3000 S State Road 135 Ste 230, Greenwood, IN 46143 2014-08-14
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Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093983488 Unity Healthcare, LLC Phlebology 985 S Creasy Ln, Lafayette, IN 47905-4800 2008-02-19
1508973181 Decatur Vein Clinic, PC Phlebology 3741 Rome Drive, Lafayette, IN 47905-4490 2006-08-23
1477669349 Decatur Vein Clinic, PC Phlebology 4513 S 7th St, Terre Haute, IN 47802-4503 2006-08-22
1639794597 Region Vein Phlebology 931 Ridge Rd Ste C, Munster, IN 46321-1756 2020-06-16
1922429141 Indiana Vascular Associates, LLC Phlebology 3920 St Francis Way, Suite 105, Lafayette, IN 47905-4917 2013-12-16
1346671005 Decatur Vein Clinic, PC Phlebology 323 Conrad Harcourt Way, Rushville, IN 46173-1161 2013-12-06
1033468715 Vein Clinic LLC Phlebology 3209 W Fullerton Pike, Suite G, Bloomington, IN 47403-4060 2012-09-10
1033466495 Varicose Vein Treatment Center Phlebology 3209 W Fullerton Pike, Suite C, Bloomington, IN 47403-4060 2012-08-04
1356646574 Decatur Vein Clinic, PC Phlebology 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 2011-01-19
1689851651 Decatur Vein Clinic, PC Phlebology 14540 Prairie Lakes Blvd N, Suite 202, Noblesville, IN 46060-4366 2008-01-22
Find all providers with the same taxonomy

Competitor

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City GREENWOOD
Zip Code 46143

Improve Information

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Dataset Information

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.

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