SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC (NPI# 1649468364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649468364 |
Entity Type | Organization |
Organization Name | SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC |
Other Organization Name | SOUTHG BEND VEIN CENTER,LLC |
Practice Address |
2025 Edison Rd South Bend IN 46637-5599 |
Mailing Address |
2025 Edison Rd Suite B South Bend IN 46637-5599 |
Practice Telephone | 5742325831 |
Practice Fax Number | 5749680120 |
Mailing Telephone | 5742325831 |
Mailing Fax Number | 5749680120 |
Enumeration Date | 2007-10-09 |
Last Update Date | 2010-12-20 |
Authorized Official Name | DR. JOHN W OREN (PHYSICIAN) |
Authorized Official Telephone | 5742325831 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01030418A | IN | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Southg Bend Vein Center,LLC | Doing Business As Name - Organization |
Street Address |
2025 EDISON RD |
City | SOUTH BEND |
State | IN |
Zip Code | 46637-5599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750567301 | Leslie A Sackett | Social Worker | 2025 Edison Rd, Ste A, South Bend, IN 46637-5600 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
1437587854 | Triple L Associates | Durable Medical Equipment & Medical Supplies | 227 Dixie Way North, Suite 110, South Bend, IN 46637 | 2013-10-22 |
1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
1831572478 | Patrick Kelly | Occupational Therapy Assistant | 52565 Sr 933, South Bend, IN 46637 | 2015-07-01 |
1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
Find all providers in zip 46637 |
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 |
---|---|---|---|---|
1497732556 | Thomas L Poulin | Surgery | 100 Navarre Pl Ste 5500, South Bend, IN 46601-1172 | 2005-12-29 |
1124553839 | Total Vein Solutions P.c | Surgery | 3015 Mishawaka Ave, South Bend, IN 46615-2347 | 2017-05-01 |
1215914452 | George B Friend | Surgery | 621 Memorial Dr, South Bend, IN 46601-1063 | 2005-12-29 |
1285611442 | Timothy W Noveroske | Surgery | 621 Memorial Dr, South Bend, IN 46601-1064 | 2005-12-29 |
1033196126 | Scott G Thomas | Surgery | 621 Memorial Dr, Suite 502, South Bend, IN 46601-1063 | 2005-12-29 |
1740267822 | General & Vascular Surgery PC | Surgery | 621 Memorial Dr, South Bend, IN 46601-1064 | 2005-12-29 |
1326025495 | Charles E Peterson | Surgery | 621 Memorial Dr, South Bend, IN 46601-1064 | 2005-12-29 |
1134106297 | Michael C Rotkis | Surgery | 621 Memorial Dr, South Bend, IN 46601-1064 | 2005-12-29 |
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 |
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 |
1851315618 | William R Finkelmeier | Surgery | 13450 N Meridian St Ste 160, Carmel, IN 46032-1552 | 2006-07-26 |
Find all providers with the same taxonomy |
City | SOUTH BEND |
Zip Code | 46637 |
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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.