VEIN CENTER AT ALLURE MEDICAL SPA, PLLC (NPI# 1932678281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932678281 |
| Entity Type | Organization |
| Organization Name | VEIN CENTER AT ALLURE MEDICAL SPA, PLLC |
| Practice Address |
1930 W Bluemound Rd Ste 340 Waukesha WI 53186-8756 |
| Mailing Address |
8180 26 Mile Rd Ste 300 Shelby Township MI 48316-5139 |
| Practice Telephone | 5869928300 |
| Practice Fax Number | 5869922830 |
| Mailing Telephone | 5869928300 |
| Mailing Fax Number | 5869922830 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | CHRISTINE TINCKNELL (BILLING MANAGER) |
| Authorized Official Telephone | 5869928300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Charles Mok DO | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1239 Corporate Center Dr, Oconomowoc, WI 530664898 | 5869928300 | 5869922830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336636786 | Vein Center At Allure Medical Spa, Pllc | Surgery | 540 Old Howell Rd, Greenville, SC 29615-1969 | 2018-04-20 |
| 1457302051 | Vein Center At Allure Medical Spa, Pllc | Internal Medicine | 8180 26 Mile Rd, Suite 300, Shelby Township, MI 48316-5129 | 2006-05-16 |
| Street Address |
1930 W BLUEMOUND RD STE 340 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| 1033401443 | Heather Davidson | Chiropractor | 21075 Swenson Drive Suite 700, Waukesha, WI 53186 | 2011-05-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265981195 | Waukesha Medical Services, LLC | Clinic/Center | N4w22370 Bluemound Rd Ste 201, Waukesha, WI 53186-1683 | 2016-10-04 |
| 1295073435 | Waukesha Pain Center LLC | Clinic/Center | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2013-01-23 |
| 1336371020 | Wisconsin Health Center LLC | Clinic/Center | 813 W. Moreland Boulavard, Waukesha, WI 53188 | 2009-08-14 |
| 1053562959 | Prohealth Aligned LLC | Clinic/Center | 1111 Delafield St, Suite 100, Waukesha, WI 53188-3417 | 2008-10-09 |
| 1679694004 | Gi Specialists LLC | Clinic/Center | 1111 Delafield St, Suite 322, Waukesha, WI 53188-3417 | 2007-04-03 |
| 1164572863 | Oaw Asc, LLC | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2007-01-12 |
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| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
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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.