AVICENNA VASCULAR INSTITUTE LLC (NPI# 1235542390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235542390 |
| Entity Type | Organization |
| Organization Name | AVICENNA VASCULAR INSTITUTE LLC |
| Other Organization Name | AVICENNA VASCULAR INSTITUTE |
| Practice Address |
4201 Medical Center Dr Ste 220 Mckinney TX 75069-1768 |
| Mailing Address |
4201 Medical Center Dr Ste 220 Mckinney TX 75069-1766 |
| Practice Telephone | 2145446050 |
| Practice Fax Number | 2145446049 |
| Mailing Telephone | 9725296939 |
| Mailing Fax Number | 9725296935 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | NADIA A KHAN (CFO) |
| Authorized Official Telephone | 2142083518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| AVICENNA VASCULAR INSTITUTE | Doing Business As Name - Organization |
| Street Address |
4201 MEDICAL CENTER DR STE 220 |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75069-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026029 | Tiffany Lynn Lowery | Family Medicine | 103 East Lamar St, Mckinney, TX 75069 | 2020-09-06 |
| 1689285603 | Heather Nicole Hester | Social Worker | 4601 Medical Drive Ste F, Mckinney, TX 75069 | 2020-08-13 |
| 1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
| 1477030385 | Kristyn Lowe | Licensed Vocational Nurse | 110 E Louisiana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1710464631 | Shasta Massey | Registered Nurse | 110 E Louisinana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1215414149 | Allison Marion | Registered Nurse | 110 E Louisiana St, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
| 1629596283 | Christy Lynne Billings | Counselor | 101 W. Louisiana St. Suite # 208, Mckinney, TX 75069 | 2017-09-05 |
| 1932623626 | Lauren Broadbent | Speech-Language Pathologist | 265 Plateau Drive, Mckinney, TX 75069 | 2017-08-03 |
| 1932623147 | Lindsey Ann Gillespie | Nurse Practitioner | 4561 Medical Center Drive, Mckinney, TX 75069 | 2017-07-29 |
| Find all providers in zip 75069 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912441254 | Talo Paris Physicians, Pllc | Specialist | 5100 Eldorado, Ste 102 #715, Mckinney, TX 75071 | 2016-12-06 |
| 1689021388 | Gary Hutto II | Specialist | 5104 Bald Cypress Ln, Mckinney, TX 75071-6288 | 2016-05-23 |
| 1306147814 | Orthotexas Physicians and Surgeons, Pllc | Specialist | 7300 Eldorado Pkwy Ste 165, Mckinney, TX 75070 | 2010-11-15 |
| 1801105929 | Amie Voigt | Specialist | 2711 Carriage Trl, Mckinney, TX 75070-4305 | 2010-10-07 |
| 1467774000 | Dustin Royss Luepker | Specialist | 6125 Prestwick Dr, Mckinney, TX 75070-7280 | 2010-02-24 |
| 1912042805 | Allan O Cook Md Pa | Specialist | 5900 Berkshire Road, Mckinney, TX 75072 | 2007-02-20 |
| 1477641132 | Keith E Seto | Specialist | 175 Ridge Rd Ste 200, Mckinney, TX 75070-5104 | 2006-10-10 |
| 1114979168 | M Asad Karim | Specialist | 1871 Harroun Ave Ste 200, Mckinney, TX 75069-3496 | 2006-05-17 |
| 1841248051 | Mckinney Imaging Center General LLC | Specialist | 4201 Medical Center Drive Suite 100, Mckinney, TX 75069 | 2006-05-04 |
| 1154386183 | Jeffrey L Clark | Specialist | 2414 W University Dr, Suite 110, Mckinney, TX 75071-2810 | 2006-04-20 |
| Find all providers in MCKINNEY | ||||
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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.