VEIN CLINIC PA (NPI# 1265781629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265781629 |
| Entity Type | Organization |
| Organization Name | VEIN CLINIC PA |
| Practice Address |
2801 Wayzata Blvd Minneapolis MN 55405-2138 |
| Practice Telephone | 9529343296 |
| Practice Fax Number | 8883895033 |
| Mailing Telephone | 9529343296 |
| Mailing Fax Number | 8883895033 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | DR. SAMEER GUPTQA (PRESIDENT/CEO) |
| Authorized Official Telephone | 9529343296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1759 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 200523130 | 05 | |
| MN | C05399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629357199 | Vein Clinic Pa | Specialist | 13954 Cypress Dr, Suite 102, Baxter, MN 56425-8810 | 2011-08-15 |
| 1457667784 | Vein Clinic Pa | Clinic/Center | 16372 Kenrick Ave, Suite 100, Lakeville, MN 55044-3540 | 2010-08-24 |
| 1669534608 | Vein Clinic Pa | Clinic/Center | 470 W 78th St, Ste 250, Chanhassen, MN 55317 | 2006-12-15 |
| Street Address |
2801 WAYZATA BLVD |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174683 | Kim Alan Anderson | Physical Therapist | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2007-01-30 |
| 1871087650 | Elisa Rose Brown | Chiropractor | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2018-06-15 |
| 1871037630 | Midwest Physical Therapy LLC | Clinic/Center | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2016-12-14 |
| 1497182760 | Caleb A Anderson | Physical Therapist | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2013-10-02 |
| 1962849943 | Rsmn PC | Phlebology | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2013-05-30 |
| 1710322086 | Uptown Healing Clinic LLC | Chiropractor | 2801 Wayzata Blvd, Minneapolis, MN 55405-2125 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| 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 |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1881099299 | Aaron Babb Medical Consulting Inc | Specialist | 204 9th Ave N, Minneapolis, MN 55401-1158 | 2014-10-28 |
| 1417387754 | Mary Arnold | Specialist | 2944 38th Ave S, Minneapolis, MN 55406-1724 | 2013-11-23 |
| 1962778043 | Headache House Call Pllc | Specialist | 4920 Drew Ave S, Minneapolis, MN 55410-1742 | 2012-03-22 |
| 1003110545 | Abdirazak M Alo | Specialist | 2740 Minnehaha Ave Ste 160, Minneapolis, MN 55406-3776 | 2010-12-24 |
| 1407171994 | Essie Marie Quiroa | Specialist | 2937 Lyndale Ave S Ste 201, Minneapolis, MN 55408-2177 | 2010-03-29 |
| 1942524103 | Specialty Care Group, LLC | Specialist | 2113 Girard Ave S Ste 2, Minneapolis, MN 55405-2547 | 2010-03-17 |
| 1477795193 | Solwelu | Specialist | 4201 E 54th St, Minneapolis, MN 55417-2245 | 2009-03-26 |
| 1285870378 | Mary Louise Huggar | Specialist | 2139 44th Ave N, Minneapolis, MN 55412-1162 | 2008-12-19 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
Please comment or provide details below to improve the information on VEIN CLINIC PA.
| 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.