REJUVEINATION, LLC (NPI# 1023544954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023544954 |
| Entity Type | Organization |
| Organization Name | REJUVEINATION, LLC |
| Practice Address |
8251 Pine Rd Suite 210 Cincinnati OH 45236-2191 |
| Mailing Address |
1924 Dana Ave Cincinnati OH 45207-1212 |
| Practice Telephone | 5134194158 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | TY HARE (CEO) |
| Authorized Official Telephone | 5137231122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| Street Address |
8251 PINE RD SUITE 210 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035223 | Ann Wilson Ellis | Nurse Practitioner | 8251 Pine Rd, Ste 220, Cincinnati, OH 45236-2191 | 2005-07-05 |
| 1669844437 | Kirstyn Shea Hanna | Nurse Practitioner | 8251 Pine Rd, 212, Cincinnati, OH 45236-2191 | 2015-10-20 |
| 1174924286 | Hyde Park Physical Medicine, Inc. | Chiropractor | 8251 Pine Rd, Suite 100, Cincinnati, OH 45236-2191 | 2014-09-08 |
| 1750626040 | A Well Adjusted Koenig Chiropractic Inc | Physical Therapist | 8251 Pine Rd, Suite 100, Cincinnati, OH 45236-2191 | 2012-11-28 |
| 1164730750 | James T Lutz Md and Associates Inc | Preventive Medicine | 8251 Pine Rd, Suite 100, Cincinnati, OH 45236-2191 | 2010-09-17 |
| 1972705960 | Sudhir Adhikari | Internal Medicine | 8251 Pine Rd, Suite 212, Cincinnati, OH 45236-2191 | 2007-06-03 |
| 1285755678 | Kevin Huey | Chiropractor | 8251 Pine Rd, 100, Cincinnati, OH 45236-2191 | 2007-04-03 |
| 1558493247 | Michael John Hancock | Chiropractor | 8251 Pine Rd, Suite 100, Cincinnati, OH 45236-2191 | 2007-03-09 |
| 1689700650 | Dan Buchanan | Chiropractor | 8251 Pine Rd, Suite 100, Cincinnati, OH 45236-2191 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205090347 | Ohio Phlebology Professional Corporation | Phlebology | 8044 Montgomery Rd, Suite 525, Cincinnati, OH 45236-2919 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194942656 | Allegro Medical Arts, LLC | Phlebology | 4866 Wunnenberg Way, West Chester, OH 45069-4863 | 2007-04-19 |
| 1194043208 | Tamara Ann Smith | Phlebology | 150 Seventh Ave, Suite 210, Chardon, OH 44024-2908 | 2010-05-13 |
| 1750513032 | The Circulatory Center of West Virginia, Inc. | Phlebology | 397 Churchill Hubbard Rd, Youngstown, OH 44505-1375 | 2009-08-20 |
| City | CINCINNATI |
| Zip Code | 45236 |
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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.