WOBURN VEIN CLINIC LLC (NPI# 1164889655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164889655 |
| Entity Type | Organization |
| Organization Name | WOBURN VEIN CLINIC LLC |
| Practice Address |
800 W Cummings Park Suite 2500 Woburn MA 01801-6372 |
| Mailing Address |
304 Wainwright Dr Northbrook IL 60062-1900 |
| Practice Telephone | 6173916900 |
| Practice Fax Number | 2242468042 |
| Mailing Telephone | 8472571244 |
| Mailing Fax Number | 2242468042 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | YAN KATSNELSON (PHYSICIAN) |
| Authorized Official Telephone | 8472571244 |
| 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 |
| Street Address |
800 W CUMMINGS PARK SUITE 2500 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199732 | Winchester Hospital | Home Health | 800 W Cummings Park, Suite 5000, Woburn, MA 01801-6372 | 2006-01-19 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| 1720426117 | Sleepvip | Durable Medical Equipment & Medical Supplies | 800 W Cummings Park, Suite 2000, Woburn, MA 01801-6372 | 2013-06-07 |
| 1003180621 | Caring for All | Family Medicine | 800 W Cummings Park, Woburn, MA 01801-6372 | 2012-02-29 |
| 1083999338 | Jack Brian Levin | Social Worker | 800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372 | 2011-10-19 |
| 1326320607 | Anthony Cardone Dmd PC | Dentist | 800 W Cummings Park, Woburn, MA 01801-6372 | 2011-09-13 |
| 1629363346 | New England Urogynecology P.C. | Obstetrics & Gynecology | 800 W Cummings Park, Suite 2550, Woburn, MA 01801-6372 | 2011-06-10 |
| 1386965630 | Digitrace Care Services, Inc. | Clinic/Center | 800 W Cummings Park, 5325, Woburn, MA 01801 | 2010-06-21 |
| 1053631853 | Jenkyns Physical Therapy & Wellness | Physical Therapist | 800 W Cummings Park, Suite 4650, Woburn, MA 01801-6372 | 2010-06-03 |
| 1841515434 | Minimally Invastive Thoracic Surgery Associates, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 W Cummings Park, Ste. 4700, Woburn, MA 01801-6372 | 2010-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| 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 |
|---|---|---|---|---|
| 1942815022 | Stephen J. Hoenig, Md, PC | Surgery | 114 Merriam Ave Ste 101, Leominster, MA 01453-3175 | 2020-09-15 |
| 1578084588 | Stephen J. Hoenig, Md, PC | Surgery | 50 Memorial Dr Ste 112, Leominster, MA 01453-2238 | 2017-06-29 |
| 1760776124 | Brad Sherman Oriel | Surgery | 955 Main St Ste G2a, Winchester, MA 01890-1992 | 2011-06-02 |
| 1750697157 | Dorothy Virginia Freeman | Surgery | 21 Washburn Ave, Wellesley, MA 02481-5263 | 2010-08-23 |
| 1245551696 | Khaled A. Yehia Md | Surgery | 178 Savin St Ste 500, Malden, MA 02148-2329 | 2010-06-21 |
| 1932332707 | Usa Vein Clinics of Boston LLC | Surgery | 1208b Vfw Pkwy Ste 300, West Roxbury, MA 02132-4350 | 2009-08-27 |
| 1255563334 | Samuel Schwartz | Surgery | 15 Parkman St # 440, Boston, MA 02114-3117 | 2009-08-21 |
| 1053551838 | Jonathan Paull Gertler | Surgery | 15 Westcliff Rd, Weston, MA 02493-1409 | 2009-03-06 |
| 1093952939 | Sarah Carlson | Surgery | 1400 Vfw Pkwy # 1c-105, West Roxbury, MA 02132-4927 | 2009-01-14 |
| 1437314325 | Sandip T Maru | Surgery | 2 Hospital Dr Ste 2013, Holyoke, MA 01040 | 2008-07-21 |
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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.