MISSOURI VEIN CARE, LLC (NPI# 1174529739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174529739 |
| Entity Type | Organization |
| Organization Name | MISSOURI VEIN CARE, LLC |
| Other Organization Name | HEART, LUNG, CIRCULATION SPECIALISTS |
| Practice Address |
1620 Southridge Dr Ste B Jefferson City MO 65109-4005 |
| Practice Telephone | 5736322780 |
| Practice Fax Number | 5736322784 |
| Mailing Telephone | 5736322780 |
| Mailing Fax Number | 5736322784 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | AMBER THOMPSON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5736322780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 50-6126507 | 05 |
| Other Name | Type Code |
|---|---|
| Heart, Lung, Circulation Specialists | Former Legal Business Name - Organization |
| Street Address |
1620 SOUTHRIDGE DR STE B |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750855 | Michael Hunter Ryan | Surgery | 1620 Southridge Dr Ste B, Jefferson City, MO 65109-4005 | 2005-06-14 |
| 1518915057 | Victoria Gunn | Dermatology | 1620 Southridge Dr Ste B, Jefferson City, MO 65109-4005 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1609382159 | The Genesis Company, LLC | Phlebology | 2511 W Edgewood Dr Ste H, Jefferson City, MO 65109-5869 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113047 | Liposuction Solutions, LLC | Phlebology | 1630 Market Center Blvd Ste 203, O Fallon, MO 63368-8407 | 2020-01-13 |
| 1619535762 | Jklm Medical, LLC | Phlebology | 11144 Tesson Ferry Rd Ste 100, Saint Louis, MO 63123-6965 | 2019-06-04 |
| 1538497656 | Chicago Uptown Medical Center | Phlebology | 10004 Kennerly Rd Ste 335a, Saint Louis, MO 63128-2194 | 2009-12-01 |
| 1104848662 | Michael E. Nellestein | Phlebology | 1341 Village Dr, Saint Joseph, MO 64506-2457 | 2006-07-24 |
| 1932155389 | Missouri Phlebology Inc | Phlebology | 9501 N Oak Trfy Ste 280, Kansas City, MO 64155-3137 | 2006-05-26 |
| 1962063040 | Kunj Govind Patel Md Pllc | Phlebology | 4455 Duncan Ave Ste 8n, Saint Louis, MO 63110-1111 | 2019-06-27 |
| 1972833457 | Vein & Laser Institute P.a. | Phlebology | 1010 Carondelet Dr, Suite 140, Kansas City, MO 64114-4859 | 2010-01-06 |
| 1821327099 | St. Louis Laser & Vein Center | Phlebology | 14897 Clayton Rd, Suite 100, Chesterfield, MO 63017-7887 | 2009-12-16 |
| 1467649913 | Beautification Concepts LLC | Phlebology | 12401 Olive Blvd Ste 100, Saint Louis, MO 63141-5448 | 2007-09-28 |
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on MISSOURI VEIN CARE, LLC.
| 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.