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).
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 |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201146690 | 05 |
Other Name | Type Code |
---|---|
DECATUR VEIN CLINIC | Doing Business As Name - Organization |
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 |
Street Address |
33 E COUNTY LINE RD SUITE D |
City | GREENWOOD |
State | IN |
Zip Code | 46143-1077 |
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 |
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 |
Find all providers in zip 46143 |
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 |
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 |
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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.