CENTER FOR VEIN RESTORATION GA CORP (NPI# 1902423387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902423387 |
| Entity Type | Organization |
| Organization Name | CENTER FOR VEIN RESTORATION GA CORP |
| Practice Address |
1100 Johnson Fy Rd Ne Ste 165 Atlanta GA 30342-1795 |
| Mailing Address |
7474 Greenway Center Dr Ste 1000 Greenbelt MD 20770-3500 |
| Practice Telephone | 8558308346 |
| Practice Fax Number | 2404734321 |
| Mailing Telephone | 8558308346 |
| Mailing Fax Number | 2404734321 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. SANJIV LAKHANPAL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8558308346 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3886 Princeton Lakes Way Sw Ste 140, Atlanta, GA 303315511 | 8558308346 | 2404734321 |
| 601 Professional Dr Ste 170, Lawrenceville, GA 300467649 | 8558308346 | 2404734321 |
| Street Address |
1100 JOHNSON FY RD NE STE 165 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
| 1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
| 1033372610 | Robert S Crawford | Surgery | 5673 Peachtree Dunwoody Ste 675, Atlanta, GA 30342-1774 | 2008-07-03 |
| 1821039991 | Brooks A Whitney | Surgery | 5671 Peachtree Dunwoody Rd Ste 620, Atlanta, GA 30342-5006 | 2006-06-09 |
| 1962461426 | Frank L Ferrier | Surgery | 1100 Johnson Ferry, Ste 235, Atlanta, GA 30342 | 2006-03-22 |
| 1295723005 | James Milton Poindexter Jr. | Surgery | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2005-10-06 |
| 1326044330 | Charles B. Ross | Surgery | 95 Collier Road, Suite 5015, Atlanta, GA 30309 | 2005-06-23 |
| 1285114363 | Atlanta Vascular Surgery | Surgery | 1002 Lindbergh Dr Ne, Atlanta, GA 30324-3721 | 2018-08-17 |
| 1528497484 | Vcp 2 Atlanta PC | Surgery | 3390 Peachtree Rd Ne, Ste 425, Atlanta, GA 30326-1157 | 2013-11-01 |
| 1720428063 | Mark A Benak Md Atlanta PC | Surgery | 3390 Peachtree Rd Ne, Suite 425, Atlanta, GA 30326-1157 | 2013-07-01 |
| Find all providers in ATLANTA | ||||
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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.