VEIN & ESTHETIC CENTRE, LLC (NPI# 1265615207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265615207 |
Entity Type | Organization |
Organization Name | VEIN & ESTHETIC CENTRE, LLC |
Practice Address |
3065 William St Suite 105 Cape Girardeau MO 63703-6393 |
Practice Telephone | 5736511882 |
Practice Fax Number | 5733345302 |
Mailing Telephone | 5736511882 |
Mailing Fax Number | 5733345302 |
Enumeration Date | 2007-12-13 |
Last Update Date | 2012-06-20 |
Authorized Official Name | DR. J THOMAS CRITCHLOW (OWNER) |
Authorized Official Telephone | 5736511882 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R6605 | MO | Allopathic & Osteopathic Physicians |
Street Address |
3065 WILLIAM ST SUITE 105 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-6393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982605325 | Reno R Cova | Family Medicine | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2005-08-09 |
1184021487 | Alpha 3 Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3065 William St, Space 207, Cape Girardeau, MO 63703-6393 | 2014-12-02 |
1578814398 | Laura Jane Murphy | Nurse Practitioner | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2012-09-20 |
1871893743 | Medstop One Diagnostics LLC | General Practice | 3065 William St, Ste 211, Cape Girardeau, MO 63703-6393 | 2010-10-26 |
1295924199 | Maxim Healthcare Services, Inc. | Nursing Care | 3065 William St, Suite 101, Cape Girardeau, MO 63703-6393 | 2007-10-17 |
1922138353 | Pediatric Eye Care of The Heartland, LLC | Specialist | 3065 William St, Ste 207, Cape Girardeau, MO 63703-6393 | 2007-03-06 |
1427109115 | Lisa B Kail | Nurse Practitioner | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2007-01-16 |
1326108945 | John Thomas Critchlow | Specialist | 3065 William St, Suite 105, Cape Girardeau, MO 63703-6393 | 2006-12-12 |
1770671588 | Beverly Mirgeaux | Social Worker | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2006-10-10 |
1497713168 | Missouri Imaging, Inc | Radiology | 3065 William St, Suite 109, Cape Girardeau, MO 63703-6393 | 2006-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
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 |
---|---|---|---|---|
1093012460 | Ernest Lee Taylor | Surgery | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2011-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
Find all providers with the same taxonomy |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.