LASER VEIN CENTER OF FAIRBANKS, LLC (NPI# 1235371360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371360 |
| Entity Type | Organization |
| Organization Name | LASER VEIN CENTER OF FAIRBANKS, LLC |
| Practice Address |
506 Gaffney Rd Suite 300 Fairbanks AK 99701-4914 |
| Mailing Address |
Po Box 440 Ester AK 99725-0440 |
| Practice Telephone | 9074528346 |
| Mailing Telephone | 9074528346 |
| Mailing Fax Number | 9074518346 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | DONALD IVES (MANAGER) |
| Authorized Official Telephone | 9074528346 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124161716 | Laser Vein Center of Fairbanks, LLC | Clinic/Center | 506 Gaffney Rd, Suite 300, Fairbanks, AK 99701-4914 | 2007-02-14 |
| Street Address |
506 GAFFNEY RD SUITE 300 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831628 | Deborah Benson | Physical Therapist | 506 Gaffney Rd, Ste 300, Fairbanks, AK 99701-4914 | 2006-12-27 |
| 1124161716 | Laser Vein Center of Fairbanks, LLC | Clinic/Center | 506 Gaffney Rd, Suite 300, Fairbanks, AK 99701-4914 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1871142018 | Janessa Cynthia Lucille Moore | Phlebology | 7962 Resurrection Dr, Anchorage, AK 99504-4729 | 2019-09-10 |
| 1538487905 | Alaska Vein Care LLC | Phlebology | 3066 E. Meridian Park Loop, Wasilla, AK 99654 | 2010-05-11 |
| 1558703199 | Vein Specialists of Alaska LLC | Phlebology | 3035 E Palmer Wasilla Hwy Ste 601, Wasilla, AK 99654-7279 | 2013-07-24 |
| 1073872669 | Lynx Medical Services Organization | Phlebology | 3066 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2012-05-16 |
| 1275792913 | Marsha R Madriaga | Phlebology | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2008-06-06 |
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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.