USA VEIN CLINICS OF WEST VIRGINIA PLLC (NPI# 1861992174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861992174 |
| Entity Type | Organization |
| Organization Name | USA VEIN CLINICS OF WEST VIRGINIA PLLC |
| Practice Address |
1010 Suncrest Towne Centre Morgantown WV 26505 |
| Mailing Address |
304 Wainwright Dr Northbrook IL 60062-1900 |
| Practice Telephone | 3043813432 |
| Mailing Telephone | 2243180118 |
| Mailing Fax Number | 2242354652 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | ROBERT MUSSON (PRESIDENT) |
| Authorized Official Telephone | 3302423442 |
| 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 |
Allopathic & Osteopathic Physicians |
| Street Address |
1010 SUNCREST TOWNE CENTRE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754581 | Usa Vascular Center of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| 1982158630 | Rebecca Rohanna | Physical Therapist | 6000 Hampton Center, Suite B, Morgantown, WV 26505 | 2016-08-11 |
| Find all providers in zip 26505 | ||||
| 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 |
|---|---|---|---|---|
| 1154961852 | Usa Vein Clinics of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre Drive, Morgantown, WV 26505-0000 | 2020-01-10 |
| 1235754581 | Usa Vascular Center of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2020-06-12 |
| 1104330810 | Dr. White's Vein Center | Surgery | 1311 Pineview Dr, Morgantown, WV 26505-0485 | 2017-11-17 |
| 1194155077 | Khumara Huseynova | Surgery | One Medical Center Drive, Morgantown, WV 26506 | 2013-11-14 |
| 1235368606 | Sashi Kiran Inkollu | Surgery | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2009-07-07 |
| 1790913945 | Mohit None Srivastava | Surgery | 1200 J D Anderson Dr, Morgantown, WV 26505 | 2009-06-26 |
| 1508048372 | Samantha Danielle Minc | Surgery | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2007-12-03 |
| 1235221151 | Pamela M. Zimmerman | Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-09-28 |
| 1316045966 | Lakshmikumar Pillai | Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-09-20 |
| 1568579084 | Alexandre C D'audiffret | Surgery | 1 Medical Center Dr, Morgantown, WV 26506 | 2006-08-23 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.