TRISTATE VEIN CENTERS LLC (NPI# 1871757559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871757559 |
| Entity Type | Organization |
| Organization Name | TRISTATE VEIN CENTERS LLC |
| Other Organization Name | MEDICAL LASER AND COSMETIC INSTITUTE |
| Practice Address |
3006 Glenmore Ave Suite B Cincinnati OH 45238-2203 |
| Practice Telephone | 5136628346 |
| Practice Fax Number | 5136620033 |
| Mailing Telephone | 5136628346 |
| Mailing Fax Number | 5136620033 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. FARZIN FORUHARI (PHYSICIAN) |
| Authorized Official Telephone | 5136628346 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
35083656 | OH | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
35077989 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Laser and Cosmetic Institute | Other Name - Individual/Organization |
| Street Address |
3006 GLENMORE AVE SUITE B |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154503738 | Hazem Al Hnawi | Specialist | 3006 Glenmore Ave, Cincinnati, OH 45238 | 2007-12-05 |
| 1093962268 | Melissa Hope Fisher | Dentist | 3006 Glenmore Ave, Cincinnati, OH 45238-2203 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649420258 | Gwen Roesel Md LLC | Clinic/Center | 9435 Waterstone Blvd, Suite 140, Cincinnati, OH 45249-8226 | 2008-09-19 |
| 1154894574 | Lindberg Medical Corp | Clinic/Center | 119 E Court St, Cincinnati, OH 45202-1203 | 2019-01-08 |
| 1275024242 | Jmf LLC | Clinic/Center | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2018-05-24 |
| 1699140525 | Deborah A. Fritz, M.d. LLC | Clinic/Center | 10550 Montgomery Rd Ste 23, Cincinnati, OH 45242-4422 | 2015-12-03 |
| 1639562366 | The Cincinnati Endocrine Clinic, LLC | Clinic/Center | 35 E 7th St, Ste 312, Cincinnati, OH 45202-2488 | 2015-03-04 |
| 1801290994 | J. W. Lee, Inc. | Clinic/Center | 10500 Montgomery Rd, Cincinnati, OH 45242 | 2014-10-17 |
| 1245655141 | Uchealth-otolaryngology-head and Neck Surgery | Clinic/Center | 222 Piedmont Ave, 5200, Cincinnati, OH 45219-4231 | 2014-02-28 |
| 1811267578 | Senior Link | Clinic/Center | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-01-11 |
| 1083982011 | Bruce H Allen Md Inc | Clinic/Center | 2752 Erie Ave, Cincinnati, OH 45208-2207 | 2011-12-05 |
| 1750697629 | Tri State Travel Health LLC | Clinic/Center | 10274 Alliance Rd, Cincinnati, OH 45242-4710 | 2010-08-29 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
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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.