ABUNDANT LIFE VEIN CENTER, LLC (NPI# 1700925526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700925526 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE VEIN CENTER, LLC |
| Other Organization Name | VEIN CENTERS FOR EXCELLENCE OF DES MOINES |
| Practice Address |
1300 37th St Suite 3 West Des Moines IA 50266-1900 |
| Practice Telephone | 5152230592 |
| Practice Fax Number | 5152238316 |
| Mailing Telephone | 5152230592 |
| Mailing Fax Number | 5152238316 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | ROBERT J ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 5152230592 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vein Centers for Excellence of Des Moines | Doing Business As Name - Organization |
| Street Address |
1300 37TH ST SUITE 3 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900844 | Jeffrey D Stahl | Internal Medicine | 1300 37th St, Ste 5, West Des Moines, IA 50266-1900 | 2005-08-26 |
| 1457769077 | Central States Medicine | Nurse Practitioner | 1300 37th St, Suite 3, West Des Moines, IA 50266-1900 | 2014-07-28 |
| 1144646787 | Central States Medicine, Pllc | Nurse Practitioner | 1300 37th St, Suite 3 & 4, West Des Moines, IA 50266-1900 | 2014-03-06 |
| 1477981371 | Sara Mathiasen | Social Worker | 1300 37th St, Ste. 3, West Des Moines, IA 50266-1900 | 2013-10-31 |
| 1639457534 | Jacquelyn Williams | Nurse Practitioner | 1300 37th St, Suite 1, West Des Moines, IA 50266-1900 | 2011-07-26 |
| 1811126055 | Abundant Life Vein Centers LLC | Exclusive Provider Organization | 1300 37th St, Suite 3, West Des Moines, IA 50266-1900 | 2009-07-09 |
| 1093704231 | Katherine Sutherland Hauser | Obstetrics & Gynecology | 1300 37th St, West Des Moines, IA 50266-1900 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| 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 |
|---|---|---|---|---|
| 1366424509 | David K.w. Chew | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2005-11-15 |
| 1184042269 | Zane Young | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2014-04-04 |
| 1124281902 | Nicholas Southard | Surgery | 5950 University Ave, Ste 231, West Des Moines, IA 50266 | 2008-07-02 |
| 1386812931 | Eric Scott | Surgery | 5950 University Ave, Ste 231, West Des Moines, IA 50266 | 2008-02-18 |
| 1982706214 | James Lipscomb Ebaugh | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2006-09-05 |
| 1497724371 | Jose Roberto Borromeo | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2006-03-14 |
| 1235111261 | Laurie M Kuestner | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2005-11-16 |
| 1043292998 | Woosup Michael Park | Surgery | 5880 University Ave, West Des Moines, IA 50266-8220 | 2005-11-16 |
| 1669468492 | Anson Anders Yeager | Surgery | 5950 University Ave, Ste 231, West Des Moines, IA 50266-8216 | 2005-09-27 |
| 1609861665 | Douglas W Massop | Surgery | 5950 University Ave, Ste 231, West Des Moines, IA 50266 | 2005-09-15 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on ABUNDANT LIFE VEIN CENTER, 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.