VEIN TREATMENT CENTER A LIMITED LIABILITY COMPANY (NPI# 1295796050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295796050 |
| Entity Type | Organization |
| Organization Name | VEIN TREATMENT CENTER A LIMITED LIABILITY COMPANY |
| Practice Address |
123 Western Hills Blvd Cheyenne WY 82009-3446 |
| Practice Telephone | 3076350226 |
| Practice Fax Number | 3076351924 |
| Mailing Telephone | 3076350226 |
| Mailing Fax Number | 3076351924 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | SANDRA K SURBRUGG (PART OWNER) |
| Authorized Official Telephone | 3076350226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 121833600 | 05 |
| Street Address |
123 WESTERN HILLS BLVD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699742957 | Sandra K Surbrugg | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-07 |
| 1366925737 | Caitlyn Sue Mccue | Physician Assistant | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2018-09-12 |
| 1043630619 | Krystal J Massey | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2014-04-23 |
| 1740427509 | Cheyenne Skin Clinic LLP | Specialist | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2009-01-15 |
| 1912019605 | Cathy J Parish | Nurse Practitioner | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-08-31 |
| 1427005545 | Julie A Neville | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-05-27 |
| 1831150689 | Cheyenne Skin Clinic | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1740241595 | Center for Dermatologic Surgery | Clinic/Center | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1437118528 | Mary O Cole | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-20 |
| 1508825696 | Kathleen A Thomas | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| 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 |
|---|---|---|---|---|
| 1659458008 | Cheyenne Regional Physicians Group, LLC | Surgery | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204361 | University of Utah Adult Services | Surgery | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1326089137 | Rocky Mountain Vein Clinic, P.C. | Surgery | 125 W Yellowstone Ave, Cody, WY 82414-8723 | 2006-06-10 |
| 1306819974 | William S Evans | Surgery | 424 Yellowstone Ave, Ste 2d, Cody, WY 82414 | 2006-02-13 |
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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.