VARICOSE VEIN CLINIC - NORTHWEST, P.A. (NPI# 1154545986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154545986 |
| Entity Type | Organization |
| Organization Name | VARICOSE VEIN CLINIC - NORTHWEST, P.A. |
| Practice Address |
4330 Medical Dr Ste 100 San Antonio TX 78229-3353 |
| Practice Telephone | 2106147467 |
| Practice Fax Number | 2106148666 |
| Mailing Telephone | 2106147467 |
| Mailing Fax Number | 2106148666 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MONICA M DEL TORO (OFFICE MANAGER) |
| Authorized Official Telephone | 2106147467 |
| 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 |
4330 MEDICAL DR STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| 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 |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1730518499 | Robert P Morales, M.d.,p.a. | Surgery | 5814 Hollyhock Rd, San Antonio, TX 78240-2001 | 2013-11-04 |
| 1891957627 | Jeffrey Joseph Stein | Surgery | 4330 Medical Dr Ste 120, San Antonio, TX 78229-3353 | 2008-07-02 |
| 1396791570 | Peripheral Vascular Associates, P.a. | Surgery | 5047 Sherri Ann Rd, San Antonio, TX 78233-6213 | 2006-05-26 |
| 1912974023 | Zachary M Arthurs | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2006-03-07 |
| 1295731164 | Jeffrey M. Martinez | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2005-06-24 |
| 1831195957 | Daniel D Tamez Jr. | Surgery | 610 N Main Avenue, San Antonio, TX 78205-2014 | 2005-06-23 |
| 1861498982 | Ronald L. Blumoff | Surgery | 6800 Park Ten Blvd, Ste 154 E, San Antonio, TX 78213-4211 | 2005-06-23 |
| 1689679151 | Patrick A Hartsell | Surgery | 4330 Medical Dr, Ste 120, San Antonio, TX 78229-3342 | 2005-06-20 |
| 1578085791 | San Antonio Vascular and Endovascular Clinic Pllc | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2017-07-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on VARICOSE VEIN CLINIC - NORTHWEST, P.A..
| 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.