KANSAS VEIN CLINIC, LLC (NPI# 1669679924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669679924 |
| Entity Type | Organization |
| Organization Name | KANSAS VEIN CLINIC, LLC |
| Practice Address |
10096 E 13th St N Suite 144 Wichita KS 67206-2645 |
| Mailing Address |
10333 E 21st St N Suite 401 Wichita KS 67206-3543 |
| Practice Telephone | 3166346622 |
| Practice Fax Number | 3166309461 |
| Mailing Telephone | 3166369580 |
| Mailing Fax Number | 3166309461 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL H. CHEATUM (PRESIDENT) |
| Authorized Official Telephone | 3166346622 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | PENDING | 01 |
| Street Address |
10096 E 13TH ST N SUITE 144 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952367534 | Paul Henry Cheatum | Family Medicine | 10096 E 13th St N, Ste 144, Wichita, KS 67206-2645 | 2006-04-24 |
| 1750418661 | Specs Optical | Eyewear Supplier (Equipment, not the service) | 10096 E 13th St N, Wichita, KS 67206-2645 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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 |
|---|---|---|---|---|
| 1104151166 | Veindocs, LLC | Phlebology | 10096 E 13th St N Ste 144, Wichita, KS 67206-2679 | 2009-10-08 |
| 1740420520 | Premier Phlebology, LLC | Phlebology | 2350 N Greenwich Rd, Wichita, KS 67226-8269 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864219 | Renovo Medical LLC | Phlebology | 816 N Campus Dr, Suite 500, Garden City, KS 67846-6329 | 2008-09-24 |
| 1144266008 | Kansas City Phlebology Medical Group Pa | Phlebology | 10777 Nall Ave, #315, Overland Park, KS 66211-1362 | 2006-06-21 |
Please comment or provide details below to improve the information on KANSAS VEIN CLINIC, LLC.
| 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.