CONNECTICUT PHLEBOLOGY PC (NPI# 1295053502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295053502 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PHLEBOLOGY PC |
| Other Organization Name | VEIN CLINICS OF AMERICA |
| Practice Address |
110 Albany Tpke Ste 209 Canton CT 06019-2549 |
| Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
| Practice Telephone | 8606934060 |
| Practice Fax Number | 8606934065 |
| Mailing Telephone | 6307252730 |
| Mailing Fax Number | 8442055691 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | DR. SATISH VAYUVEGULA (PRESIDENT) |
| Authorized Official Telephone | 6307252700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | CT | Allopathic & Osteopathic Physicians | |
| N | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
CT | Allopathic & Osteopathic Physicians | |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
CT | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vein Clinics of America | Doing Business As Name - Organization |
| Street Address |
110 ALBANY TPKE STE 209 |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922748 | Canton Interventional Radiologist Group PC | Phlebology | 110 Albany Tpke Ste 209, Canton, CT 06019-2549 | 2019-09-20 |
| 1932584653 | Andrumedia Arti Field | Physician Assistant | 110 Albany Tpke Ste 209, Canton, CT 06019-2549 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1619210481 | James Robert Cardella | Surgery | 1330 Mercy Dr Nw Ste 418, Canton, OH 44708-2625 | 2013-03-31 |
| 1417213893 | Kathryn Parker | Surgery | 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115-8015 | 2012-04-10 |
| 1356570659 | Arcangelo V Mariano | Surgery | 10 Powderhill Rd, Canton, MA 02021-2101 | 2009-07-08 |
| 1053557223 | Roc & Associates M. D., P. C. | Surgery | 8554 N Canton Center Rd, Canton, MI 48187-1310 | 2008-12-18 |
| 1881802650 | Melvin Richard Stjernholm | Surgery | 2600 Tuscarawas St W Ste 620, Canton, OH 44708-4676 | 2007-05-17 |
| 1053421156 | James Scott Young | Surgery | 2600 6 St Sw, Aultman Hospital, Canton, OH 44710 | 2006-08-30 |
| 1174558209 | William Mark Nannery | Surgery | 490 Chapman St, Canton, MA 02021-2039 | 2006-07-11 |
| 1639137581 | Gilbert Matas Roc | Surgery | 8554 Canton Center Rd, Canton, MI 48187-1310 | 2006-05-02 |
| 1235190554 | Bireswar Patnaik | Surgery | 4190 Holiday St Nw, Canton, OH 44718-2532 | 2006-03-28 |
| 1699160143 | Joseph W Gunter IIi Md Pllc | Surgery | 156 River Oaks Dr, Suite B, Canton, MS 39046-5376 | 2015-04-01 |
| Find all providers in CANTON | ||||
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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.